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. 2017 Dec;46(12 Pt 1):1173-1183.
doi: 10.1016/j.lpm.2017.10.004. Epub 2017 Nov 22.

[Management of endometrioma]

[Article in French]
Pauline Chauvet  1 , Horace Roman  2 , Anne-Sophie Gremeau  3 , Michel Canis  3 , Nicolas Bourdel  3
Affiliations

[Management of endometrioma]

[Article in French]
Pauline Chauvet et al. Presse Med. 2017 Dec.

Abstract

Preoperative evaluation: clinical examination, and research for associated lesions. Laparoscopic approach. Cystectomy: gold standard, conformed to the endometrioma pathophysiology (3 zones). Laser CO2 Plasmajet® vaporisation: important data lead to legitimate utilisation. Haemostasis: be patient! Use of bipolar energy sparingly. Look for other endometriotic lesions, and systematic treatment. Preoperative medical treatment not always useful. Postoperative treatment: decrease recurrence. Especially for patients with no immediate pregnancy desire.

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