Coagulation or excision of ovarian endometriomas?

Paolo Vercellini, Charles Chapron, Olga De Giorgi, Dario Consonni, Giada Frontino, Pier Giorgio Crosignani

Research output: Contribution to journalArticlepeer-review


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 languageEnglish
Pages (from-to)606-610
Number of pages5
JournalAmerican Journal of Obstetrics and Gynecology
Issue number3
Publication statusPublished - Mar 1 2003


  • Conservative surgery
  • Endometriosis
  • Laparoscopy
  • Ovarian cyst

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynaecology


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