Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jan 25:2021:6679641.
doi: 10.1155/2021/6679641. eCollection 2021.

Recurrence Rate and Risk Factors for the Recurrence of Ovarian Endometriosis after Laparoscopic Ovarian Cystectomy

Sornsittipong Wacharachawana  1 , Paweena Phaliwong  1 , Sinart Prommas  1 , Buppa Smanchat  1 , Kornkarn Bhamarapravatana  2 , Komsun Suwannarurk  3
Affiliations

Recurrence Rate and Risk Factors for the Recurrence of Ovarian Endometriosis after Laparoscopic Ovarian Cystectomy

Sornsittipong Wacharachawana et al. Biomed Res Int. .

Abstract

The aim of this study was to identify the recurrence rate and risk factors for the recurrence of ovarian endometriosis (OE) after laparoscopic cystectomy. This was a retrospective cross-sectional study. Subjects were OE cases who underwent laparoscopic ovarian cystectomy at Bhumibol Adulyadej Hospital (BAH). The period of this study was from January 2008 to December 2017. Ovarian histopathology and at least one-year follow-up after surgery were the prerequisite requirements. A total of 106 OE cases were included in the study. Subjects were classified into recurrence and nonrecurrence groups. It comprised of 24 and 82 cases, respectively. The mean age of the participant was 32.4 years old. The demographic characters of both groups were comparable. The recurrence rate after laparoscopic OE surgery in the present study was 22.6% (24/106). The average largest diameter of OE in the present study was 54.5 mm. Postoperative medical treatment (OR 3.15, 95% CI 1.14-8.74, p = 0.02) and postoperative pregnancy (OR 2.86, 95% CI 1.03-7.93, p = 0.04) were associated factors for recurrence decrement. The recurrence rate of OE after laparoscopic cystectomy was 22.6%. Postoperative medical treatment and postoperative pregnancy were a significant factor that lowered OE recurrence.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Sornsittipong Wacharachawana.
See this image and copyright information in PMC

References

    1. Dunselman G. A., Vermeulen N., Becker C., et al. ESHRE guideline: management of women with endometriosis. Human Reproduction. 2014;29(3):400–412. doi: 10.1093/humrep/det457. - DOI - PubMed
    1. Sun T. T., Chen S. K., Li X. Y., et al. Fertility outcomes after laparoscopic cystectomy in infertile patients with stage III-IV endometriosis: a cohort with 6-10 years of follow-up. Advances in Therapy. 2020;37(5):2159–2168. doi: 10.1007/s12325-020-01299-w. - DOI - PubMed
    1. Nickkho-Amiry M., Savant R., Majumder K., Edi-O’sagie E., Akhtar M. The effect of surgical management of endometrioma on the IVF/ICSI outcomes when compared with no treatment? A systematic review and meta-analysis. Archives of Gynecology and Obstetrics. 2018;297(4):1043–1057. doi: 10.1007/s00404-017-4640-1. - DOI - PMC - PubMed
    1. Yılmaz Hanege B., Güler Çekıç S., Ata B. Endometrioma and ovarian reserve: effects of endometriomata per se and its surgical treatment on the ovarian reserve. Facts, Views & Vision in ObGyn. 2019;11(2):151–157. - PMC - PubMed
    1. Luu T. H., Uy-Kroh M. J. New developments in surgery for endometriosis and pelvic pain. Clinical Obstetrics and Gynecology. 2017;60(2):245–251. doi: 10.1097/GRF.0000000000000282. - DOI - PubMed

LinkOut - more resources