title: Second-look laparoscopy after laparoscopic cystectomy of large ovarian endometriomas.
abstract: Forty-two patients who underwent a second-look laparoscopy after a unilateral or bilateral intraperitoneal cystectomy for treatment of an ovarian endometrioma of greater than 3 cm were included. At second-look laparoscopy, 92.4% of the adnexae treated for a large endometrioma had no deep ovarian endometriosis. Adhesion de novo formation occurred in 21% of the treated adnexae and in 17% of the contralateral adnexae. Complete or partial recurrence of dense adhesions occurred in 82% of the cases. Laparoscopic cystectomy is effective in treating large endometriomas. However, operative difficulties may be encountered, explaining persistent endometriomas and postoperative adhesions.
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Medicine, Polyclinique de l'Hotel Dieu, Clermont-Ferrand, France.
authors.forename: M
authors.initials: M
authors.lastname: Canis
authors.forename: G
authors.initials: G
authors.lastname: Mage
authors.forename: A
authors.initials: A
authors.lastname: Wattiez
authors.forename: C
authors.initials: C
authors.lastname: Chapron
authors.forename: J L
authors.initials: JL
authors.lastname: Pouly
authors.forename: S
authors.initials: S
authors.lastname: Bassil
mesh_terms: D000290:Adnexa Uteri / Q000473:pathology; D000328:Adult; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D012008:Recurrence; D012086:Reoperation; D000267:Tissue Adhesions / Q000209:etiology / Q000473:pathology