Recurrence of ovarian endometrioma after surgery
- Author:
Banal-Silao Maria Jesusa B.
;
De Guia Blanca C.
;
Pastorfide Greg B.
- Publication Type:Journal Article
- MeSH:
Human;
Female;
Adult;
ENDOMETRIOSIS;
RECURRENCE
- From:
Philippine Journal of Reproductive Endocrinology and Infertility
2004;1(1):7-11
- CountryPhilippines
- Language:English
-
Abstract:
Objective: To determine which of the following factors at initial surgery-such as diameter of largest endometriotic cyst, number of cysts, diseases severity, type of surgery (laparoscopy versus laparotomy), or postoperative medical therapy-best correlated with the time of recurrence of ovarian endometrioma.
Design: A retrospective descriptive study was performed on 25 patients who underwent initial surgical excision of endometriotic cyst and had cyst recurrence demonstrated either on ultrasound or repeat surgery. The clinical presentation of cyst recurrence was described. The operative findings of the first and second surgeries were compared. Factors which may affect the time of cyst recurrence were evaluated.
Results: Cyst recurrence was demonstrated by ultrasound in 24 (96 percent) cases; repeat surgery for recurrence was done in only 10 (40 percent) cases. The different factors in the initial surgery: type of operation, size, number, and laterality of the endometriotic cyst, disease severity, adhesions and postoperative medical therapy, did not influence the time of recurrence of ovarian endometrioma. Disease severity was a significant factor on repeat surgery.
Conclusion: The different factors aforementioned, which were present in the first surgery, did not influence the time of recurrence of ovarian endometrioma.
