Detail Article

Folia Medica Indonesiana

ISSN 0303-7932

Vol. 45 / No. 4 / Published : 2009-10

Order : 11, and page :302 - 307

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Original Article :

Review article: how to manage endometrioma by laparoscopy? ablation or excision?

Author :

  1. RY Primariawan*1
  1. RY Primariawan Obstetric and Gynaecology Department Faculty of Medicine Airlangga University Dr.Soetomo Teaching Hospital

Abstract :

Endometriosis is a common condition association with pelvic pain, infertility and tumor as endometrioma in women. It may be present in up to 22% of asymptomatic women and up to 45% of women with pelvic pain. In recent years, laparoscopy has become the gold standard for the treatment of ovarian endometriotic cysts. Surgery (especially by laparoscopy) to endometriotic cyst or endometrioma based on some clinical evidence is favourable to perform excision rather then drainage and coagulation. The excisional surgery for endometrioma provides for a more favourable outcome than the drainage and ablation using bipolar coagulation with regard to the recurrence of the endometrioma, recurrence of symptoms and subsequent spontaneous pregnancy in women who were previously infertile.

Keyword :

endometrioma, laparoscopy, ablation, excision,

References :

  1. Al-Shahrani, Tulandi T., (2006). Surgical management of ovarian endometrioma: cystectomy by stripping of the capsule. In modern management of endometriosis. Sutton C, Jones K, Adamson GD eds.1st ed. . United Kingdom : Taylor & Francis
  2. Kennedy S, Bergqvist A, Chapron C et al., (2005). ESHRE guideline for the diagnosis and treatment of endometriosis . - : Human Reproduction

Archive Article

Cover Media Content

Volume : 45 / No. : 4 / Pub. : 2009-10
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