Pelvic Surgery pp 181-187 | Cite as

Reconstruction of the Ovary with Endometrioma: A Problem of Adhesions

  • Ivo A. Brosens
  • Patrick Puttemans


In situ examination of ovaries with a chocolate cyst has shown that the endometrioma is not an intraovarian cyst of deeply infiltrating endometriosis but an extraovarian pseudocyst consisting of invaginated ovarian cortex fused and sealed off by adhesions and colonized by superficial endometriotic implants. If the adhesions and menstrual bleeding of superficial implants are the cause of the pseudocyst formation, the rational surgical approach is lysis of adhesions and ablation of superficial endometriosis. This chapter describes the nosography of the ovarian endometriotic cyst, the observations that support the thesis of an extraovarian pseudocyst, and proposes adhesiolysis, eversion via the stigma of inversion, and coagulation of superficial implants as the first-choice surgical treatment.


Corpus Luteum Ovarian Cortex Eutopic Endometrium Ectopic Endometrium Endometriotic Tissue 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer Science+Business Media New York 1997

Authors and Affiliations

  • Ivo A. Brosens
  • Patrick Puttemans

There are no affiliations available

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