[Diagnostic and therapeutic value of laparoscopic needle biopsies of persistent para-uterine cysts: absence of recurrences and consecutive pregnancies. In view of ultrasonography-guided biopsies].
In the presence of a persistent para-uterine cyst, the actual tendency is to operate by laparotomy or most frequently by laparoscopic surgery. This leads to ablation of 20% of the so called "Functional cysts". A 30 years experience of laparoscopic puncture of 745 persistent para-uterine cysts, among which 321 were preserved and controlled, shows that 69% of them, of various origin or nature do not recur, whereas many pregnancies happen to come at short notice: 59% of 117 patients who wished to be pregnant had 73 known living children. Young, nulliparous or sterile patients, could at a first step, under strict conditions, get the benefit of a sonographic-guided diagnostic and therapeutic puncture, avoiding a useless endoscopy or ablation.
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D000293:Adolescent; D000328:Adult; D001707:Biopsy, Needle / Q000009:adverse effects / Q000379:methods*; D003560:Cysts / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D012008:Recurrence; D015996:Survival Rate; D018084:Ultrasonography, Interventional / Q000009:adverse effects / Q000379:methods*; D014591:Uterine Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000601:surgery*
L'apport diagnostique et thérapeutique des ponctions percoelioscopiques des kystes para-utérins persistants: absence de récidives et grossesses à court terme. En vue des ponctions échoguidées.