Anzeige
Erschienen in:
23.03.2020 | News and Views
A new approach to avoid ovarian failure as well function-impairing adhesion formation in endometrioma infertility surgery
Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2020
Einloggen, um Zugang zu erhaltenAbstract
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.
