Second-look laparoscopy after laparoscopic cystectomy of large ovarian endometriomas.
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.
Canis
M
M
Department of Obstetrics, Gynecology and Reproductive Medicine, Polyclinique de l'Hotel Dieu, Clermont-Ferrand, France.
Mage
G
G
Wattiez
A
A
Chapron
C
C
Pouly
J L
JL
Bassil
S
S
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