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Journal article

Recommendations for the surgical treatment of endometriosis—part 1: ovarian endometrioma

Abstract:

Study question

What does this document on the surgical treatment of endometriosis jointly prepared by the European Society for Gynaecological Endoscopy (ESGE), ESHRE, and the World Endometriosis Society (WES) provide?

Summary answer

This document provides recommendations covering technical aspects of different methods of surgery for endometriomas in women of reproductive age

What is already known

Endometriomas (ovarian endometriotic cysts) are a commonly diagnosed form of endometriosis, owing to the relative ease and accuracy of ultrasound diagnosis. They frequently present a clinical dilemma as to whether and how to treat them when found during imaging or incidentally during surgery. Previously published guidelines have provided recommendations based on the best available evidence, but without technical details on the management of endometriosis.

Study design, size and duration

A working group of ESGE, ESHRE and WES collaborated on writing recommendations on the practical aspects of endometrioma surgery.

Participants/materials, setting and methods

This document focused on endometrioma surgery. Further documents in this series will provide recommendations for surgery of deep and peritoneal endometriosis.

Main results and the role of chance

The document presents general recommendations for surgery of endometrioma and specific recommendations for cystectomy, ablation by laser or by plasma energy, electrocoagulation and a combination of these techniques applied together or with an interval between them.

Limitations and reasons for caution

Owing to the limited evidence available, recommendations are mostly based on clinical expertise.

Wider implications of the findings

These recommendations complement previous guidelines on the management of endometriosis.

Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1186/s10397-017-1029-x

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Women's and Reproductive Health
Role:
Author


Publisher:
Springer
Journal:
Gynecological Surgery More from this journal
Volume:
14
Issue:
1
Pages:
27
Publication date:
2017-12-01
Acceptance date:
2017-11-26
DOI:
EISSN:
1613-2084
ISSN:
1613-2076


Keywords:
Pubs id:
pubs:815292
UUID:
uuid:78053126-ad9f-47c3-9efa-52bdc213ef5b
Local pid:
pubs:815292
Source identifiers:
815292
Deposit date:
2018-02-28

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