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01-10-2015 | General Gynecology

The role of ovarian fossa evaluation in patients with ovarian endometriosis

Authors: Carlo De Cicco Nardone, Corrado Terranova, Francesco Plotti, Roberto Ricciardi, Stella Capriglione, Daniela Luvero, Donatella Caserta, Massimo Moscarini, Pierluigi Benedetti Panici, Roberto Angioli

Published in: Archives of Gynecology and Obstetrics | Issue 4/2015

Abstract

Purpose

The aim of this study is to evaluate prospectively the presence of endometriosis in the peritoneum of the ovarian fossa of patients affected by endometriomas and its correlation with the adhesion between this peritoneum and endometrioma.

Methods

Patients presenting ovarian endometriomas and candidate to laparoscopy were considered for inclusion in the study. Patients underwent laparoscopic excision of endometriomas. The presence of adherence of the ovarian fossa to endometrioma was investigated. In all patients, the removal of a peritoneum fragment from the ovarian fossa of the affected ovary was carried out.

Results

68 patients were enrolled in the study. 48 patients presented adhesions to the ovarian fossa. Histopathologic examination of the peritoneum of the ovarian fossa revealed the presence of endometriosis in 87 % of patients presenting adhesions of the endometriomas with ovarian fossa; surprisingly it was present only in 15 % of patients not presenting this condition (p < 0.0001). Pain symptoms were more frequent in patients with endometriomas adhesion to the ovarian fossa. CA125 levels were not statistically significantly different between groups. At 12-month follow-up, four patients presented endometrioma recurrence. All of them presented adhesion of the ovarian fossa to the endometrioma in the first operation.

Conclusions

There is a strong association between adhesion of the endometriomas to the ovarian fossa and the presence of endometriosis on the peritoneal surface of the fossa. This condition significantly correlates with pain symptoms and may predict endometrioma recurrence. The removal of this peritoneum in case of adherent endometrioma may potentially reduce the incidence of recurrence.

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Title: The role of ovarian fossa evaluation in patients with ovarian endometriosis
Authors: Carlo De Cicco Nardone
Corrado Terranova
Francesco Plotti
Roberto Ricciardi
Stella Capriglione
Daniela Luvero
Donatella Caserta
Massimo Moscarini
Pierluigi Benedetti Panici
Roberto Angioli
Publication date: 01-10-2015
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 4/2015
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-015-3719-9

At a glance: The STEP trials

Springer Medicine

The role of ovarian fossa evaluation in patients with ovarian endometriosis

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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