Adhesion formation and reformation after laparoscopic removal of ovarian endometriomas.
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.
Gurgan
T
T
Hacettepe Universitesi Tip Fakultesi, Kadin Hastaliklari ve Dogum Ana Bilim Dali, Sihhiye 06100, Ankara, Turkey.
Urman
B
B
Yarali
H
H
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