Document Detail


Long-term outcome, including pregnancy rate, recurrence rate and ovarian reserve, after laparoscopic laser ablation surgery in infertile women with endometrioma.
MedLine Citation:
PMID:  20178536     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To retrospectively assess the long-term outcome, including pregnancy rate, recurrence rate and ovarian reserve, after laser ablation surgery in infertile women with endometrioma.
METHODS: From March 1997 to June 2007, 45 subfertile women underwent ablation surgery with a potassium-titanyl-phosphate laser for ovarian endometrioma. These patients were reviewed retrospectively.
RESULTS: Of the 45 women, 22 became pregnant spontaneously. Among the 23 women who did not become pregnant after more than 6 months postoperatively, 16 elected to undergo in vitro fertilization (IVF), 12 of them became pregnant. The remaining 11 women did not become pregnant. Eleven women had recurrence detected by ultrasound. The mean number of oocytes retrieved per cycle during IVF was 7.3 +/- 3.6 and 4.6 +/- 2.7 from the ovary treated by ablation surgery and the contralateral ovary, respectively.
CONCLUSION: The overall long-term pregnancy rate (combining spontaneous pregnancy and IVF) after laparoscopic ablation surgery for endometrioma was 75.6%. Surgery did not have any adverse effect on the ovarian reserve during subsequent IVF.
Authors:
Yoshihiko Shimizu; Akiko Takashima; Kentaro Takahashi; Nobuyuki Kita; Mutsuko Fujiwara; Takashi Murakami
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  36     ISSN:  1447-0756     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-24     Completed Date:  2010-06-01     Revised Date:  2012-01-19    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  115-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Shiga University of Medical Science, Shiga, Japan. oshimi@belle.shiga-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Endometriosis / prevention & control,  surgery*
Female
Humans
Infertility, Female / complications*
Laparoscopy / adverse effects*
Laser Therapy / adverse effects*
Neoplasm Recurrence, Local
Oocytes*
Pregnancy
Pregnancy Rate*
Recurrence
Retrospective Studies
Treatment Outcome
Uterine Diseases / prevention & control,  surgery*

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


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