Abstract
A systematic review was undertaken to determine whether coagulation or laser vaporization of endometriomas is associated with an increase in the risk of cyst recurrence compared with excision of the pseudocapsule. In the four comparative trials identified, endometrioma recurrence was reported in 39 of 212 (18.4%) women treated with coagulation or laser vaporization compared with 19 of 295 (6.4%) in those who underwent cystectomy. The odds ratios of endometrioma recurrence ranged from 1.41 to 9.38 with 95% Cls including unity in two studies. The common odds ratio was 3.09 (95% Cl 1.78-5.36). Coagulation or laser vaporization of endometriomas without excision of the pseudocapsule seems to be associated with a significant increase in risk of cyst recurrence.
Original language | English |
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Pages (from-to) | 606-610 |
Number of pages | 5 |
Journal | American Journal of Obstetrics and Gynecology |
Volume | 188 |
Issue number | 3 |
DOIs | |
Publication status | Published - Mar 1 2003 |
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Keywords
- Conservative surgery
- Endometriosis
- Laparoscopy
- Ovarian cyst
ASJC Scopus subject areas
- Medicine(all)
- Obstetrics and Gynaecology
Cite this
Coagulation or excision of ovarian endometriomas? / Vercellini, Paolo; Chapron, Charles; De Giorgi, Olga; Consonni, Dario; Frontino, Giada; Crosignani, Pier Giorgio.
In: American Journal of Obstetrics and Gynecology, Vol. 188, No. 3, 01.03.2003, p. 606-610.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Coagulation or excision of ovarian endometriomas?
AU - Vercellini, Paolo
AU - Chapron, Charles
AU - De Giorgi, Olga
AU - Consonni, Dario
AU - Frontino, Giada
AU - Crosignani, Pier Giorgio
PY - 2003/3/1
Y1 - 2003/3/1
N2 - A systematic review was undertaken to determine whether coagulation or laser vaporization of endometriomas is associated with an increase in the risk of cyst recurrence compared with excision of the pseudocapsule. In the four comparative trials identified, endometrioma recurrence was reported in 39 of 212 (18.4%) women treated with coagulation or laser vaporization compared with 19 of 295 (6.4%) in those who underwent cystectomy. The odds ratios of endometrioma recurrence ranged from 1.41 to 9.38 with 95% Cls including unity in two studies. The common odds ratio was 3.09 (95% Cl 1.78-5.36). Coagulation or laser vaporization of endometriomas without excision of the pseudocapsule seems to be associated with a significant increase in risk of cyst recurrence.
AB - A systematic review was undertaken to determine whether coagulation or laser vaporization of endometriomas is associated with an increase in the risk of cyst recurrence compared with excision of the pseudocapsule. In the four comparative trials identified, endometrioma recurrence was reported in 39 of 212 (18.4%) women treated with coagulation or laser vaporization compared with 19 of 295 (6.4%) in those who underwent cystectomy. The odds ratios of endometrioma recurrence ranged from 1.41 to 9.38 with 95% Cls including unity in two studies. The common odds ratio was 3.09 (95% Cl 1.78-5.36). Coagulation or laser vaporization of endometriomas without excision of the pseudocapsule seems to be associated with a significant increase in risk of cyst recurrence.
KW - Conservative surgery
KW - Endometriosis
KW - Laparoscopy
KW - Ovarian cyst
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UR - http://www.scopus.com/inward/citedby.url?scp=0037342973&partnerID=8YFLogxK
U2 - 10.1067/mob.2003.7
DO - 10.1067/mob.2003.7
M3 - Article
C2 - 12634628
AN - SCOPUS:0037342973
VL - 188
SP - 606
EP - 610
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
SN - 0002-9378
IS - 3
ER -