Laparoscopic Explorative Cyto-Puncture and Aspiration of Intra-Ovarian Endometriotic Cysts and Deposits — 186 Cases in 22 Years

84% of the patients are between 20 and 40 years old, 70% are nulliparous or sterile. Among 214 punctured cysts, 62% contained between 10 and 400 ml (27-91 mm diameter). Judged by 79 surgical controls, the reliability of cytology is 84%: it eliminated corpus luteum cysts, revealed among 214 ovarian endometriosis almost 50% of intra-ovarian hidden cases, and contributed to the discovery of 3 endometriotic malign cysts of benign aspect ( 1 false-negative). Among 186 patients, 24 had complementary surgical cyst resections. 139 patients bearing 155 cysts were followed-up after puncture: 80% for more than 2 years, 50% between 6 and 20 years. Most of the prescriptions (33 different gynecologists) were not correctly followed. Among 109 second-looks and/or ultrasonic controls: 47 cases of persistance or recurrence, 62 showed no cysts, although 15 had revealed cysts from 50 to 100 ml. Among 65 patients who wanted children, 31 bore 40 known living children, although 16 had had large punctured cysts of 50-400 ml.