Document Detail


Ablative or excisional laparoscopic surgery for endometriotic cysts: resolving the issue.
MedLine Citation:
PMID:  15559337     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A logistic regression analysis was carried out to compare laparoscopic excision with ablation for endometriotic cysts. Four comparative studies were identified. Cyst recurrence (%, +/- SE) was twice as likely after the ablation treatment (26.6% +/- 0.032) than after the excision treatment (13.2% +/- 0.019), (p <.001, relative risk 1.9). Two comparative studies were identified where postprocedure pregnancy rates were an outcome measure. Postoperative pregnancy rates were not significantly different for the ablation treatment (41.6% +/- 0.138) than for the excision treatment (56.9% +/- 0.23). There was only one comparative study to investigate symptom relief, therefore logistic regression analysis to compare studies was not possible. Three studies compared excisional surgery and perioperative medication with excisional surgery only. Cyst recurrence rates were not significantly different for the group that received medication (10.3% +/- 0.033) than for the group that did not (4.0% +/- 0.02).
Authors:
Kevin D Jones; Jeremy T Wright
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Publication Detail:
Type:  Comparative Study; Journal Article; Meta-Analysis; Review    
Journal Detail:
Title:  The Journal of the American Association of Gynecologic Laparoscopists     Volume:  11     ISSN:  1074-3804     ISO Abbreviation:  J Am Assoc Gynecol Laparosc     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-11-22     Completed Date:  2004-12-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9417443     Medline TA:  J Am Assoc Gynecol Laparosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  293-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Great Western Hospital, Marlborough Road, Swindon, Wiltshire, SN3 6BB, UK.
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MeSH Terms
Descriptor/Qualifier:
Cysts / surgery*
Endometrium*
Female
Humans
Laparoscopy* / methods
Treatment Outcome
Uterine Diseases / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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