title: Adhesion formation and reformation after laparoscopic removal of ovarian endometriomas.
abstract: OBJECTIVE
  To evaluate the extent of adhesion formation after laparoscopic removal of endometriomas.
  
  
  METHODS
  Prospective case series.
  
  
  METHODS
  A university hospital.
  
  
  METHODS
  Nineteen infertile women with ovarian endometriomas.
  
  
  METHODS
  All patients underwent laparoscopic cystectomy with total stripping of the cyst capsule when possible. A second-look laparoscopy was performed after 3 months of postoperative treatment with a gonadotropin-releasing hormone analog.
  
  
  RESULTS
  The extent of adhesion reformation was dependent on the extent and severity of adhesions at initial laparoscopy. One (5.2%) woman had a residual ovarian endometrioma at second-look laparoscopy. De novo adhesion formation was not seen. Nine women (42.8%) conceived during the postoperative follow-up period (range 11-22 mo).
  
  
  CONCLUSIONS
  Laparoscopic removal of endometriomas is effective in eradicating the disease. Adhesions at second-look laparoscopy depend on adhesions at the initial laparoscopy. Crude pregnancy rates are satisfactory in infertile women.
authors.affiliation: Hacettepe Universitesi Tip Fakultesi, Kadin Hastaliklari ve Dogum Ana Bilim Dali, Sihhiye 06100, Ankara, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Gurgan
authors.forename: B
authors.initials: B
authors.lastname: Urman
authors.forename: H
authors.initials: H
authors.lastname: Yarali
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000150:complications; D010535:Laparoscopy / Q000379:methods; D010049:Ovarian Diseases / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications; D000267:Tissue Adhesions / Q000209:etiology; D014463:Ultrasonography