Reconstruction of the ovary containing large endometriomas by an extraovarian endosurgical technique.
OBJECTIVE
To describe and evaluate the surgical treatment of large ovarian endometriomas by an extraovarian endosurgical technique.


METHODS
Prospective case series study.


METHODS
University center and tertiary referral center for endoscopic surgery.


METHODS
Patients with large ovarian endometriomas.


METHODS
A two-step endosurgical procedure: the first step is a combined diagnostic and operative procedure confirming the diagnosis and preparing the involution of the pseudocyst and the second step includes adhesiolysis and superficial coagulation of the inverted cortex.


METHODS
Operative findings and recurrence of endometriomas in the operated ovaries.


RESULTS
Sixteen patients presenting with 20 large typical ovarian endometriomas were operated using the two-step endosurgical technique. Both steps were performed on 18 endometriomas. One patient with bilateral endometriomas refused the second endoscopic procedure. The long-term follow-up showed no recurrence in the 18 ovaries that were treated by the two-step endoscopic technique.


CONCLUSIONS
The two-step extraovarian endosurgical technique can be applied in large typical endometriomas to reconstruct the ovary without excision and is followed by a low recurrence rate.
Brosens
I A
IA
University Hospital Gasthuisberg, Belgium.
Van Ballaer
P
P
Puttemans
P
P
Deprest
J
J
D000328:Adult; D003558:Cystoscopy; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006801:Humans; D010049:Ovarian Diseases / Q000601:surgery*; D010053:Ovary / Q000601:surgery*; D011446:Prospective Studies; D017329:Triptorelin Pamoate / Q000627:therapeutic use
D017329:Triptorelin Pamoate