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A new approach to avoid ovarian failure as well function-impairing adhesion formation in endometrioma infertility surgery.
Torres-de la Roche, Luz Angela; Devassy, Rajesh; de Wilde, Maya Sophie; Cezar, Cristina; Krentel, Harald; Korell, Matthias; De Wilde, Rudy Leon.
Affiliation
  • Torres-de la Roche LA; University Hospital for Gynecology, Pius Hospital, University Medicine Oldenburg, Georgstrasse 12, 26121, Oldenburg, Germany.
  • Devassy R; Department of Obstetrics and Gynecology, Dubai London Clinic and Speciality Hospital, 3371500, Dubai, United Arab Emirates.
  • de Wilde MS; University Hospital for Gynecology, Pius Hospital, University Medicine Oldenburg, Georgstrasse 12, 26121, Oldenburg, Germany.
  • Cezar C; University Hospital for Gynecology, Pius Hospital, University Medicine Oldenburg, Georgstrasse 12, 26121, Oldenburg, Germany.
  • Krentel H; University Hospital for Gynecology, Pius Hospital, University Medicine Oldenburg, Georgstrasse 12, 26121, Oldenburg, Germany.
  • Korell M; Department of Obstetrics and Gynecology, Johanna-Etienne-Hospital, 41462, Neuss, Germany.
  • De Wilde RL; University Hospital for Gynecology, Pius Hospital, University Medicine Oldenburg, Georgstrasse 12, 26121, Oldenburg, Germany. rudy-leon.dewilde@pius-hospital.de.
Arch Gynecol Obstet ; 301(5): 1113-1115, 2020 05.
Article in En | MEDLINE | ID: mdl-32206876
PURPOSE: Deep ovarian endometriosis surgery is likely to be associated with diffuse bleeding, intraoperative ovarian tissue destruction and perioperative adhesion formation. A new surgical approach is hereby proposed to avoid the negative short-term impact of classic laparoscopic cystectomy on ovarian reserve. RESULTS: The need for intraoperative periovarian coagulation after endometrioma excision was avoided by combining the gold standard minimal-access endometrioma stripping technique with a purely plant-based medical product with high-hemostatic and antiadhesion barrier properties. CONCLUSION: Endometrioma stripping followed by the application of a polysaccharide agent could avoid ovarian failure and at same time could reduce adhesion formation, thereby preserving tubo-ovarian function in endometrioma surgery. We encourage other surgically working groups to investigate middle- and long-term effects of this combined technique.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Ovarian Diseases / Tissue Adhesions / Endometriosis / Ovarian Reserve / Infertility Limits: Female / Humans Language: En Journal: Arch Gynecol Obstet Journal subject: GINECOLOGIA / OBSTETRICIA Year: 2020 Document type: Article Affiliation country: Germany Country of publication: Germany

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Ovarian Diseases / Tissue Adhesions / Endometriosis / Ovarian Reserve / Infertility Limits: Female / Humans Language: En Journal: Arch Gynecol Obstet Journal subject: GINECOLOGIA / OBSTETRICIA Year: 2020 Document type: Article Affiliation country: Germany Country of publication: Germany