e-Article
Similar long-term recurrence rates with cystectomy and CO 2 laser vaporization for endometrioma: a retrospective study.
Document Type
Academic Journal
Author
Bafort C; Department of Obstetrics and Gynecology, Leuven University Fertility Center, University Hospitals Leuven, Leuven 3000, Belgium; Department of Development and Regeneration, Katholieke Universiteit Leuven, Leuven 3000, Belgium.; Mourad Tawfic N; Department of Obstetrics and Gynecology, Leuven University Fertility Center, University Hospitals Leuven, Leuven 3000, Belgium.; Meuleman C; Department of Obstetrics and Gynecology, Leuven University Fertility Center, University Hospitals Leuven, Leuven 3000, Belgium; Department of Development and Regeneration, Katholieke Universiteit Leuven, Leuven 3000, Belgium.; Laenen A; Department of Public Health, Interuniversity Center for Biostatistics and Statistical Bioinformatics, Katholieke Universiteit Leuven, Leuven 3000, Belgium.; Timmerman D; Department of Obstetrics and Gynecology, Leuven University Fertility Center, University Hospitals Leuven, Leuven 3000, Belgium; Department of Development and Regeneration, Katholieke Universiteit Leuven, Leuven 3000, Belgium.; Van Schoubroeck D; Department of Obstetrics and Gynecology, Leuven University Fertility Center, University Hospitals Leuven, Leuven 3000, Belgium.; Tomassetti C; Department of Obstetrics and Gynecology, Leuven University Fertility Center, University Hospitals Leuven, Leuven 3000, Belgium; Department of Development and Regeneration, Katholieke Universiteit Leuven, Leuven 3000, Belgium. Electronic address: carla.tomassetti@uzleuven.be.
Source
Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101122473 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1472-6491 (Electronic) Linking ISSN: 14726483 NLM ISO Abbreviation: Reprod Biomed Online Subsets: MEDLINE
Subject
Language
English
Abstract
Research Question: Is there a difference in recurrence rate of endometrioma(s) after cystectomy versus CO 2 laser vaporization of the cyst wall?
Design: This single-centre retrospective study included 270 patients undergoing laparoscopic surgery for endometriomas between January 2010 and December 2014, stratified according to the surgical technique used. All 270 included patients underwent complete laparoscopic surgery for endometrioma(s): 155 underwent cystectomy, 63 complete CO2 laser vaporization of the cyst wall and 52 a mixed technique. The primary outcome studied was the difference in recurrence rate between the cystectomy group and the CO 2 laser vaporization group.
Results: The mean duration of follow-up was 58 (±34) months. Imaging-based recurrence (any cyst size) was reported in 9.9% of patients (n = 12/121) treated with cystectomy and in 13.3% of patients (n = 6/45) who underwent a vaporization (P = 0.577). The need for reintervention for endometrioma(s) was also similar in both groups, with a rate of 3.2% (n = 5/155) after cystectomy and 4.8% (n = 3/63) after vaporization (P = 0.476). Of 160 women who wanted to conceive immediately after surgery, 73.8% became pregnant (72.6% [77/106] in the cystectomy group and 75.9% [41/54] in the vaporization group [P = 0.310]). Conception occurred mostly by assisted reproductive technology (57.1% [44/77] in the cystectomy group and 70.7% [29/41] in the vaporization group [P = 0.074]).
Conclusions: Similar rates of recurrence for endometrioma(s) were observed after cystectomy versus CO2 laser vaporization. As other studies have suggested that CO 2 laser vaporization may be less harmful to the normal ovarian tissue, it can be considered as a safe alternative for cystectomy in women wishing to preserve their reproductive potential.
(Copyright © 2022. Published by Elsevier Ltd.)
Design: This single-centre retrospective study included 270 patients undergoing laparoscopic surgery for endometriomas between January 2010 and December 2014, stratified according to the surgical technique used. All 270 included patients underwent complete laparoscopic surgery for endometrioma(s): 155 underwent cystectomy, 63 complete CO
Results: The mean duration of follow-up was 58 (±34) months. Imaging-based recurrence (any cyst size) was reported in 9.9% of patients (n = 12/121) treated with cystectomy and in 13.3% of patients (n = 6/45) who underwent a vaporization (P = 0.577). The need for reintervention for endometrioma(s) was also similar in both groups, with a rate of 3.2% (n = 5/155) after cystectomy and 4.8% (n = 3/63) after vaporization (P = 0.476). Of 160 women who wanted to conceive immediately after surgery, 73.8% became pregnant (72.6% [77/106] in the cystectomy group and 75.9% [41/54] in the vaporization group [P = 0.310]). Conception occurred mostly by assisted reproductive technology (57.1% [44/77] in the cystectomy group and 70.7% [29/41] in the vaporization group [P = 0.074]).
Conclusions: Similar rates of recurrence for endometrioma(s) were observed after cystectomy versus CO
(Copyright © 2022. Published by Elsevier Ltd.)