Skip to main content
SpringerLink
Log in
Book cover

Endometriosis pp 95–103Cite as

Treatment of Ovarian Endometriosis

  • Chapter

Abstract

Ovarian involvement occurs in 50% to 70% of all cases of endometriosis.1 Lesions appear differently at the ovary than at other sites. Superficial ovarian endometriosis, like endometriosis of other parts of the pelvis, can be treated by excision, vaporization or coagulation. Irrigation is performed and all of the charcoal is removed to be sure that the disease is completely treated. Aggressive use of the laser or electrocoagulation should be avoided to decrease the chance of ovarian damage. Ovarian endometriosis may form cystic structures known as endometriomas.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Jenkins S, Olive DL, Haney AF. Endometriosis: pathogenic implications of the anatomic distribution. Obstet Gynecol 1986;67:335.

    PubMed  CAS  Google Scholar 

  2. Vercellini P, Vandola N, Bocciolone L, et al. Laparoscopic aspiration of ovarian endometriomas. J Reprod Med 1992;37:577.

    PubMed  CAS  Google Scholar 

  3. Fayez JA, Vogel MF. Comparison of different treatment methods of endometriomas by laparoscopy. Obstet Gynecol 1991;78:660.

    PubMed  CAS  Google Scholar 

  4. Kupfer MC, Schwimer SR, Lebovic J. Transvaginal sonographic appearance of endometrioma: spectrum of findings. J Ultrasound Med 1992;11:129.

    PubMed  CAS  Google Scholar 

  5. Grabb A, Carr L, Goodman JD, et al. Hepatic endometrioma. J Clin Ultrasound 1986;14:478.

    Article  PubMed  CAS  Google Scholar 

  6. Kennedy SH, Brodribb J, Godfrey AM, et al. Preoperative treatment of an abdominal wall endometrioma with nafarelin acetate: case report. Br J Obstet Gynecol 1988; 95:521.

    Article  CAS  Google Scholar 

  7. Frydman CP, Schwartz JW, Schwartz IS. Endometrioma of the anterior abdominal wall. Mount Sinai J Medicine 1986;53:160.

    CAS  Google Scholar 

  8. Punnonen R, Pettersson K, Vanharanta R, et al. Androgen, estrogen and progestin binding in cystosis of benign gynecologic tumors and tumor-like lesions. Hormone and Metabolic Research 1985;7:607.

    Article  Google Scholar 

  9. Botha AJ, Halliday AE, Flanagan JP. Endometriosis in gluteus muscle with surgical implantation: a case report. Acta Orthopaedica Scandinavica 1991;62:497.

    Article  PubMed  CAS  Google Scholar 

  10. Lipscomb GH, Ling FW, Photopoulos GJ. Ovarian abscess arising within an endometrioma. Obstet Gynecol 1991;78:951.

    PubMed  CAS  Google Scholar 

  11. Martino CR, Haaga JR, Bryan PJ. Secondary infection of an endometrioma following fine-needle aspiration. Radiology 1984;151:53.

    PubMed  CAS  Google Scholar 

  12. Martin JD, Hauck AE. Endometriosis in the male. Am Surg 1985;51:426.

    PubMed  Google Scholar 

  13. Johnson TR, Woodruff JD. Surgical emergencies of the uterine adnexae during pregnancy. Int J Gynecol Obstet 1986;24:331.

    Article  Google Scholar 

  14. Pennes DR, Bowerman RA, Silver TM. Echogenic adnexal masses associated with first-trimester pregnancy: sonographic appearance and clinical significance. J Clin Ultrasound 1985;13:391.

    Article  PubMed  CAS  Google Scholar 

  15. Ninia JG. Large endometrioma with intrauterine pregnancy. NY State J Med 1992;92:364.

    CAS  Google Scholar 

  16. Nezhat F, Nezhat C, Silfen S, et al. Laparoscopic ovarian cystectomy during pregnancy. J Laparoendosc Surg 1991; 1:161–164.

    Article  PubMed  CAS  Google Scholar 

  17. Sampson JA. Perforating hemorrhagic (chocolate) cysts of the ovary. Arch Surg 1921;3:245.

    Google Scholar 

  18. Sampson JA. The development of the implantation theory for the origin of peritoneal endometriosis. Am J Obstet Gynecol 1940;40:549.

    Google Scholar 

  19. Chernobilsky B, Morris WJ. A historic study of ovarian endometriosis with emphasis on hyperplastic and atypical changes. Obstet Gynecol 1979;53:318.

    Google Scholar 

  20. Nisolle-Pochet M, Casanas-Roux F, Donnez J. Histologic study of ovarian endometriosis after hormonal therapy. Fertil Steril 1988;49:423.

    PubMed  CAS  Google Scholar 

  21. Martin DC, Berry JD. Histology of chocolate cysts. J Gynecol Surg 1990;6:43.

    Article  Google Scholar 

  22. Vercellini P, Vendola N, Bocciolone L, et al. Reliability of the visual diagnosis of ovarian endometriosis. Fertil Steril 1991;56:1198.

    PubMed  CAS  Google Scholar 

  23. Sternberg SS, ed. Histology for pathologists, 1992, p. 513.

    Google Scholar 

  24. Nezhat F, Nezhat C, Allan CJ, et al. Clinical and histologic classification of endometriomas. J Reprod Med 1992; 37:771.

    PubMed  CAS  Google Scholar 

  25. Nezhat C, Nezhat F. Letter-to-the-Editor: Comparison of different treatment methods of endometriomas by laparoscopy. Obstet Gynecol 1991;79:315.

    Google Scholar 

  26. Killackey M, Neuwirth R. Evaluation and management of pelvic mass: a review of 540 cases. Am J Obstet Gynecol 1988;71:319.

    CAS  Google Scholar 

  27. Pittaway DE, Fayez JA, Douglas JW. Serum CA-125 in the evaluation of benign adnexal cysts. Am J Ob Gyn 1987;157(6):1426–1428.

    CAS  Google Scholar 

  28. Nezhat F, Nezhat C, Welander CE, et al. Four ovarian cancers diagnosed during laparoscopic management of 1,011 women with adnexal masses. Am J Obstet Gynecol 1992;167:790.

    PubMed  CAS  Google Scholar 

  29. Wood C, Maher P, Hill D. Diagnosis and surgical management of endometriomas. Aust NZ J Obstet Gynecol 1992;32:161.

    Article  CAS  Google Scholar 

  30. Fleisher AC, Rogers WH, Rao BK, et al. Assessment of ovarian tumor vascularity with transvaginal color Doppler sonography. J Ultrasound Med 1991;10:563.

    Google Scholar 

  31. Shields RA, Peel KR, MacDonald HN, et al. A prospective trial of computed tomography in the staging of ovarian malignancy. Br J Obstet Gynecol 1985;92:407.

    Article  Google Scholar 

  32. Buy JN, Ghossain MA, Mark AS, et al. Focal hyperdense areas in endometriomas: a characteristic finding on CT. Am J Roentgen 1992;159:769.

    CAS  Google Scholar 

  33. Arrive L, Hricak H, Martin MC. Pelvic endometriosis: MR imaging. Radiol 1989;171:687.

    CAS  Google Scholar 

  34. Togashi K, Nishimura K, Kimura I, et al. Endometrial cysts: diagnosis with MR imaging. Radiol 1991;180:73.

    CAS  Google Scholar 

  35. Mawhinney RR, Powell MC, Worthington BS, et al. Magnetic resonance imaging of benign ovarian masses. Br J Radiol 1988;61:179.

    Article  PubMed  CAS  Google Scholar 

  36. Koninckx PR, Muyldermand M, Moerman P, et al. CA 125 concentrations in ovarian “chocolate” cyst fluid can differentiate an endometriotic cyst from a corpus luteum. Hum Reprod 1992;7:1314.

    PubMed  CAS  Google Scholar 

  37. Buttram VC. Use of danazol in conservative surgery. J Reprod Med 1990;35:82.

    PubMed  Google Scholar 

  38. Dmowski WP, Kapetanakis E, Scommegna A. Variable effects of danazol on endometriosis at 4 low-dose levels. Obstet Gynecol 1982;59:408.

    PubMed  CAS  Google Scholar 

  39. Henzl MR, Corson SL, Moghissi K, et al. Administration of nasal nafarelin as compared with oral danazol for endometriosis: a multicenter double blind comparative clinical trial. N Engl J Med 1988;318:485.

    Article  PubMed  CAS  Google Scholar 

  40. Zorn JR, Matheison J, Risquez F, et al. Treatment of endometriosis with a delayed release preparation of the agonist D-Trp6-luteinizing hormone releasing hormone: long-term follow-up of 50 patients. Fertil Steril 1990;53: 401.

    PubMed  CAS  Google Scholar 

  41. Schenken RS. Gonadotropin-releasing hormone analogs in the treatment of endometriomas. Am J Obstet Gynecol 1990;162:579.

    PubMed  CAS  Google Scholar 

  42. Nezhat C, Crowgery SR, Garrison C. Surgical treatment of endometriosis via laser laparoscopy. Fertil Steril 1986; 45:778.

    PubMed  CAS  Google Scholar 

  43. Nezhat C, Nezhat F, Pennington E. Laparoscopic treatment of infiltrate rectosigmoid colon and rectovaginal septum endometriosis by the technique of videolaparo-scopy and the CO2 laser. Br J Obstet Gynecol 1992; 99:664.

    Article  CAS  Google Scholar 

  44. Nezhat C, Winder W, Nezhat F. Is endoscopic treatment of endometriosis and endometrioma associated with better results than laparotomy? Am J Gynecol Health 1988;2:10.

    Google Scholar 

  45. Hasson HM. Laparoscopic management of ovarian cysts. J Reprod Med 1990;35:863.

    PubMed  CAS  Google Scholar 

  46. Nezhat C, Nezhat F. Postoperative adhesion formation after ovarian cystectomy with and without ovarian reconstruction. Presented at the 75th Annual Meeting of the American Fertility Society, Orlando, Florida, October 19–24, 1991.

    Google Scholar 

  47. Canis M, Mage G, Wattiez A, et al. Second-look laparoscopy after laparoscopic cystectomy of large ovarian endometriomas. Fertil Steril 1992;58:617.

    PubMed  CAS  Google Scholar 

  48. Nezhat C, Nezhat F, Metzger D, et al. Adhesion reformation after reproductive surgery by videolaseroscopy. Fertil Steril 1990;53:1008.

    PubMed  CAS  Google Scholar 

  49. Yu J, Grimes DA. Ascites and pleural effusions associated with endometriosis. Obstet Gynecol 1991;78:533.

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. Camran Nezhat
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Farr Nezhat
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ceana Nezhat
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Dahlia Admon
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynecology, Mercer University School of Medicine, Macon, GA, 31207, USA

    Camran R. Nezhat M.D. , Farr R. Nezhat M.D.  & Ceana H. Nezhat M.D. ,  & 

  2. Department of Obstetrics and Gynecology, Department of Surgery, Stanford University School of Medicine, Stanford, CA, 94305, USA

    Camran R. Nezhat M.D. , Farr R. Nezhat M.D.  & Ceana H. Nezhat M.D. ,  & 

  3. Center for Special Pelvic Surgery, Atlanta, GA, 30342, USA

    Camran R. Nezhat M.D. , Farr R. Nezhat M.D.  & Ceana H. Nezhat M.D. ,  & 

  4. Center for Special Pelvic Surgery, Palo Alto, CA, 94304, USA

    Camran R. Nezhat M.D. , Farr R. Nezhat M.D.  & Ceana H. Nezhat M.D. ,  & 

  5. Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, NC, 27514, USA

    Gary S. Berger M.D.

  6. Department of Maternal and Child Health, University of North Carolina School of Public Health, Chapel Hill, NC, 27514, USA

    Gary S. Berger M.D.

  7. Chapel Hill Fertility Center, Chapel Hill, NC, 27514, USA

    Gary S. Berger M.D.

  8. Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, 77054, USA

    Veasy C. Buttram Jr. M.D.

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer-Verlag New York, Inc.

About this chapter

Cite this chapter

Nezhat, C., Nezhat, F., Nezhat, C., Admon, D. (1995). Treatment of Ovarian Endometriosis. In: Nezhat, C.R., Berger, G.S., Nezhat, F.R., Buttram, V.C., Nezhat, C.H. (eds) Endometriosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8404-5_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-8404-5_11

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-8406-9

  • Online ISBN: 978-1-4613-8404-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation