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Pathological assessment of follicular loss in laparoscopic endometrioma excision: Effects of cyst size and surgeon's experience
Author(s) -
Aytac Pinar Caglar,
Parlakgumus Huriye Ayse,
Bolat Filiz Aka,
Cok Tayfun,
Haydardedeoglu Bulent,
Kilicdag Esra Bulgan
Publication year - 2015
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12529
Subject(s) - medicine , endometriosis , pathological , follicular phase , follicular cyst , cyst , laparoscopy , ovary , surgery , general surgery , gynecology , pathology
Aim We planned to histologically demonstrate unintentional ovarian harm caused by excision of endometriomas. Methods One hundred and seven patients with 135 endometriomas had laparoscopic excision of endometriomas at a tertiary health‐care clinic over a 6‐year period. Records were obtained retrospectively and pathological specimens were reevaluated to demonstrate follicular loss. Tissue damage was scored morphologically and compared according to surgeons' experience and endometrioma size. Results Ovarian follicles were detected in 80% of endometrioma specimens near the cyst wall. Morphological scores of ovarian follicles were not affected by the surgeon's experience or endometrioma size. Conclusion Surgical excision of endometriomas causes inevitable ovarian follicular loss. As observed in our study, this loss rate could not be traced to surgical experience or ovarian size.