Laparoscopic surgery for the management of ovarian endometrioma.
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| Abstract |
The purpose of this study was to evaluate the effects of laparoscopic surgery on the symptoms associated with ovarian endometrioma. We also examined serum IL-6 concentrations in patients with endometrioma. Ninety-two patients who underwent laparoscopic surgery for ovarian endometrioma were enrolled in this study. The mean duration of follow-up was 27.6 months. Transvaginal ultrasound examinations revealed a recurrence of endometrioma in 13% of the cases. We evaluated the severity of dysmenorrhea using a 0-3-point verbal rating scale, and found that the dysmenorrhea score was statistically improved after the operation. Follicular growth was preserved in 94%, and the pregnancy rate was 43%. We measured serum IL-6 concentrations in 14 patients with ovarian endometrioma and 4 patients with benign gynecologic disease without endometriosis. IL-6 was significantly higher in patients with endometrioma than in those without endometriosis at the time of diagnosis. The mean serum IL-6 concentration significantly decreased after the operation. In conclusion, laparoscopic surgery is effective for alleviating pain and preserving fertility in patients with endometrioma. Measurements of serum IL-6 concentrations may be useful for the management of endometrioma.
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| Authors | Souichi Yoshida, Tasuku Harada, Tomio Iwabe, Naoki Terakawa |
| Journal | Gynecologic and obstetric investigation (Gynecol Obstet Invest) Vol. 54 Suppl 1 Pg. 24-7; discussion 27-9 ( 2002) ISSN: 0378-7346 [Print] Switzerland |
| PMID | 12441657 (Publication Type: Journal Article) |
| Copyright | Copyright 2002 S. Karger AG, Basel |
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