Abstract
The ovarian endometrioma represents a severe stage of endometriosis, which, by affecting women in their early reproductive life, can be a major threat to their fertility. It is frequently asymptomatic, but is also a cause of acute and chronic pelvic pain. When initially present on one side, it is likely to affect the other side later. The first surgical procedure is therefore critical for the preservation of the reproductive and endocrine functions of the ovary. In this chapter, we will discuss the pathophysiology, the diagnosis and the techniques of conservative reconstructive surgery.
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References
Sampson JA (1921) Perforating hemorrhagic (chocolate) cysts of the ovary. Arch Surg 3:245–323
Sampson JA (1927) Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity. Am J Obstet Gynecol 14:422–469
Hughesdon PE (1957) The structure of endometrial cysts of the ovary. J Obstet Gynaecol Br Empire 64:481–487
Brosens IA, Puttemans PJ, Deprest J (1994) The endoscopic localisation of endometrial implants in the ovarian chocolate cyst. Fertil Steril 61:1034–1038
Redwine DB (1987) The distribution of endometriosis in the pelvis by age groups and fertility. Fertil Steril 47:173–175
Vercellini P, Aimi G De Giorgi O et al (1998) Is cystic ovarian endometriosis an asymmetric disease? Br J Obstet Gynaecol 105:1018–1021
Brosens I, Gordts S, Campo R (2001) Transvaginal hydrolaparoscopy, but not standard laparoscopy reveals subtle ovarian endometriosis. Fertil Steril 75:1009–1012
Nisolle M, Donnez J (1997) Peritoneal endometriosis, ovarian endometriosis, and adenomyotic nodules of the rectovaginal septum are three different entities. Fertil Steril 68:585–596
Nezhat F, Nezhat C, Allan CJ et al (1992) A clinical and histologic classification of endometriomas: implications for a mechanism of pathogenesis. J Reprod Med 37:771–776
Vercellini P, Vendola N, Bocciolone I et al (1990) Reliability of the visual diagnosis of ovarian endometriosis. Fertil Steril 53:1198–1200
Barbieri RL (1992) Visual diagnosis of endometriosis - reliability? (Letter) Fertil Steril 58:221–222
Brosens IA, Van Ballaer P, Puttemans P et al (1996) Reconstruction of the ovary containing large endometriomas by an extraovarian endosurgical technique. Fertil Steril 66:517–521
Sutton CJG, MacDonald R (1990) Laser laparoscopic adhesiolysis. J Gynaecol Surg 6:155–160
Gordts S, Campo R, Rombauts L et al (1998). Transvaginal salpingoscopy: an office procedure for infertility investigation. Fertil Steril 70:523–526
Gordts S, Campo R, Rombauts L et al (1998) Transvaginal hydrolaparoscopy as an outpatient procedure for infertility investigation. Hum Reprod 13:99–103
Vergote I De Brabanter J, Fyles A et al (2001) Prognostic importance of degree of differentiation and cyst rupture in stage I invasive epithelial ovarian carcinoma. Lancet 357:175–182
Gordts S, Campo R Brosens I (2000) Operative transvaginal hydrolaparoscopy of a large ovarian endometrioma. Gynaecol Endosc 9:227–231
Vercellini P, Pisacreta A, Vicentini S et al (2000) Lateral distribution of nonendometriotic benign ovarian cysts. Br J Obstet Gynaecol 107:556–558
Brosens I (1997) Endometriosis - a disease because it is characterised by bleeding. Am J Obstet Gynecol 176:264–267
Adamson GD, Subak LL, Pasta DJ et al (1992) Comparison of CO2 laser laparoscopy with laparotomy for treatment of endometriomata. Fertil Steril 57:965–973
Gordts S, Boeckx W Brosens I (1984) Microsurgery of endometriosis in infertile patients. Fertil Steril 42:520–525
Brosens I, Boeckx W, Page G (1988) Microsurgery of ovarian endometriosis. Hum Reprod 3:365–366
Hemmings R, Bissonnette F, Bouzayen R (1998) Results of laparoscopic treatments of ovarian endometriomas: laparoscopic ovarian fenestration and coagulation. Fertil Steril 70:527
Fayez JA, Vogel MF (1991) Comparison of different treatment methods of endometriomas by laparoscopy. Obstet Gynecol 78:660–665
Beretta P, Ghezzi F, Busacca M et al (1998) Randomized trial of two laparoscopic treatments of endometriomas: cystectomy versus drainage and coagulation. Fertil Steril 70:1176–1180
Canis M, Mage G, Watiez Aet al (1992) Second-look laparoscopy after laparoscopic cystectomy of large ovarian endometriomas (see comments). Fertil Steril 58:617–619
Gurgan T, Urman B, Yarali H (1996) Adhesion formation and reformation after laparoscopic removal of ovarian endometriomas. J Am Assoc Gynecol Laparosc 3:389–392
Vercellini P, Trespidi L De Giorgi O et al (1996) Endometriosis and pelvic pain: relation to disease stage and localization. Fertil Steril 65:299–304
Nargund G, Cheng WC, Parsons AK (1995) The impact of ovarian cystectomy on ovarian response to stimulation during in-vitro fertilization cycles. Hum Reprod 11:81–83
Loh FH, Tan AT, Kumar J et al (1999) Ovarian response after laparoscopic ovarian cystectomy for endometriotic cysts in 132 monitored cycles. Fertil Steril 72:316–321
Al-Azmi M, Bernai AL, Gramsbergen I et al (2000) Ovarian response to repeated controlled stimulation in in-vitro fertilization cycles in patients with ovarian endometriosis. Hum Reprod 15:72–75
El-Sahwi S (1998) Laparoscopic management of ovarian endometriomas: comparative study incision peeling versus incision coagulation. Abstracts of the 5th Meeting of the Middle East Fertility Society, Amman, Jordan, November 18–20, p 6
Martin DC, Berry JD (1990) Histology of chocolate cysts. J Gynecol Surg 6:43–46
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Brosens, I., Campo, R., Gordts, S. (2003). The Ovarian Endometrioma: Pathophysiology, Diagnosis and Surgery. In: Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology. Springer, London. https://doi.org/10.1007/978-1-4471-0655-5_27
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DOI: https://doi.org/10.1007/978-1-4471-0655-5_27
Publisher Name: Springer, London
Print ISBN: 978-1-4471-1170-2
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