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01-11-2014 | Original Article

Efficacy of ovarian suspension to round ligament with a resorbable suture to prevent postoperative adhesions in women with ovarian endometrioma: follow-up by transvaginal hydrolaparoscopy

Authors: Massimiliano Pellicano, Pierluigi Giampaolino, Giovanni Antonio Tommaselli, Ursula Catena, Carmine Nappi, Giuseppe Bifulco

Published in: Gynecological Surgery | Issue 4/2014

Abstract

The aim of this study was to assess the effect of ovarian suspension to the round ipsilateral ligament with a resorbable suture, performed during laparoscopic surgery for endometrioma, on postoperative ovarian adhesion formation. The tool used to assess this effect was not conventional laparoscopy but outpatient transvaginal hydrolaparoscopy. Fifty women with single ovarian endometrioma were divided in two groups (group A, 24 and group B, 26). All patients underwent laparoscopic ovarian cystectomy for endometriosis. In group A, the ovary was suspended to the ipsilateral round ligament. In group B, ovarian suspension was not performed. All patients underwent transvaginal outpatient hydrolaparoscopy as follow-up. A significantly lower rate of postsurgical ovarian adhesion in group A in comparison with group B (33.3 vs 80.8 %—p = 0.001) was observed. Operative time and postoperative pain were similar in both groups. Ovarian suspension to the ipsilateral round ligament with a resorbable suture during surgery for endometrioma is associated with a lower rate of postoperative ovarian adhesion formation.

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Title: Efficacy of ovarian suspension to round ligament with a resorbable suture to prevent postoperative adhesions in women with ovarian endometrioma: follow-up by transvaginal hydrolaparoscopy
Authors: Massimiliano Pellicano
Pierluigi Giampaolino
Giovanni Antonio Tommaselli
Ursula Catena
Carmine Nappi
Giuseppe Bifulco
Publication date: 01-11-2014
Publisher: Springer Berlin Heidelberg
Published in: Gynecological Surgery / Issue 4/2014
Print ISSN: 1613-2076
Electronic ISSN: 1613-2084
DOI: https://doi.org/10.1007/s10397-014-0854-4

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Springer Medicine

Efficacy of ovarian suspension to round ligament with a resorbable suture to prevent postoperative adhesions in women with ovarian endometrioma: follow-up by transvaginal hydrolaparoscopy

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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