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. 2020 May;301(5):1113-1115.
doi: 10.1007/s00404-020-05483-9.

A New Approach to Avoid Ovarian Failure as Well Function-Impairing Adhesion Formation in Endometrioma Infertility Surgery

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A New Approach to Avoid Ovarian Failure as Well Function-Impairing Adhesion Formation in Endometrioma Infertility Surgery

Luz Angela Torres-de la Roche et al. Arch Gynecol Obstet. .

Abstract

Purpose: Deep ovarian endometriosis surgery is likely to be associated with diffuse bleeding, intraoperative ovarian tissue destruction and perioperative adhesion formation. A new surgical approach is hereby proposed to avoid the negative short-term impact of classic laparoscopic cystectomy on ovarian reserve.

Results: The need for intraoperative periovarian coagulation after endometrioma excision was avoided by combining the gold standard minimal-access endometrioma stripping technique with a purely plant-based medical product with high-hemostatic and antiadhesion barrier properties.

Conclusion: Endometrioma stripping followed by the application of a polysaccharide agent could avoid ovarian failure and at same time could reduce adhesion formation, thereby preserving tubo-ovarian function in endometrioma surgery. We encourage other surgically working groups to investigate middle- and long-term effects of this combined technique.

Keywords: Minimal invasive surgical procedures; Modified polysaccharide agent; Ovarian cyst surgery; Peritoneal adhesions.

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