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Folia Medica Indonesiana

ISSN 0303-7932

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

TOC : 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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  3. Comparative effectiveness between chlorhexidine gluconate 0.2% and povidone-iodine 1% as an antiseptic to decrease density level of intraoral germs in maxillofacial fracture surgery
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  5. Identification of fungtional cluster of extract parasite duku (loranthaceae deandropthoe species) with ft-ir spectrometer
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  9. Macrophage between the first and third day of closed femoral fracture
  10. Parasitological examination of imported and indigenous malaria in tegalombo community health center, pacitan disctrict, east jawa province
  11. Review article: how to manage endometrioma by laparoscopy? ablation or excision?
  12. Review article: anatomical aspect of shoulder joint dislocation for volleyball players
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