A comparison of histopathologic findings of ovarian tissue inadvertently excised with endometrioma and other kinds of benign ovarian cyst in patients undergoing laparoscopy versus laparotomy.
OBJECTIVE
To evaluate ovarian tissue inadvertently excised with benign cysts during laparotomy or laparoscopy.


METHODS
Prospective study.


METHODS
Private and university hospitals.


METHODS
260 women, 20 to 35 years old, with unilateral benign ovarian cysts.


METHODS
One hundred fifty women operated by laparoscopic cystectomy stripping technique, and 110 women operated by laparotomy with the same technique.


METHODS
Histopathologic findings of ovarian tissue inadvertently excised in endometrioma compared with other kinds of benign cysts in laparoscopy versus laparotomy.


RESULTS
In the laparoscopy group, ovarian tissue was present in 65% of endometrioma and in 32% of nonendometriotic cysts. In the laparotomy group, ovarian tissue was seen in 80% of endometrioma and 41% of nonendometriotic cysts.


CONCLUSIONS
The surgical approach had no statistically significant impact on conservation of ovarian reserves. The nature of the ovarian cyst played a greater role in the quality and quantity of the excised ovarian tissue.
Alborzi
Saeed
S
Division of Infertility and Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran. alborzis@sums.ac.ir
Foroughinia
Leila
L
Kumar
Perikala Vijayananda
PV
Asadi
Nasrin
N
Alborzi
Soroosh
S
D000328:Adult; D018291:Cystadenoma, Mucinous / Q000473:pathology / Q000601:surgery; D018293:Cystadenoma, Serous / Q000473:pathology / Q000601:surgery; D003884:Dermoid Cyst / Q000473:pathology / Q000601:surgery; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D005298:Fertility; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007813:Laparotomy / Q000009:adverse effects / Q000379:methods*; D010048:Ovarian Cysts / Q000473:pathology / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery; D010053:Ovary / Q000473:pathology / Q000502:physiology / Q000601:surgery*; D011446:Prospective Studies; D055815:Young Adult