title: Pathological assessment of follicular loss in laparoscopic endometrioma excision: effects of cyst size and surgeon's experience.
abstract: OBJECTIVE
  We planned to histologically demonstrate unintentional ovarian harm caused by excision of endometriomas.
  
  
  METHODS
  One hundred and seven patients with 135 endometriomas had laparoscopic excision of endometriomas at a tertiary health-care clinic over a 6-year period. Records were obtained retrospectively and pathological specimens were reevaluated to demonstrate follicular loss. Tissue damage was scored morphologically and compared according to surgeons' experience and endometrioma size.
  
  
  RESULTS
  Ovarian follicles were detected in 80% of endometrioma specimens near the cyst wall. Morphological scores of ovarian follicles were not affected by the surgeon's experience or endometrioma size.
  
  
  CONCLUSIONS
  Surgical excision of endometriomas causes inevitable ovarian follicular loss. As observed in our study, this loss rate could not be traced to surgical experience or ovarian size.
authors.affiliation: Department of Obstetrics and Gynecology, Baskent University Faculty of Medicine, Adana, Turkey.
authors.forename: Pinar Caglar
authors.initials: PC
authors.lastname: Aytac
authors.forename: Huriye Ayse
authors.initials: HA
authors.lastname: Parlakgumus
authors.forename: Filiz Aka
authors.initials: FA
authors.lastname: Bolat
authors.forename: Tayfun
authors.initials: T
authors.lastname: Cok
authors.forename: Bulent
authors.initials: B
authors.lastname: Haydardedeoglu
authors.forename: Esra Bulgan
authors.initials: EB
authors.lastname: Kilicdag
mesh_terms: D000328:Adult; D002983:Clinical Competence; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010049:Ovarian Diseases / Q000473:pathology / Q000601:surgery*; D006080:Ovarian Follicle / Q000601:surgery*; D012189:Retrospective Studies; D055815:Young Adult
keywords: endometrioma; excision; follicular loss; stripping; surgeon's experience