| Ultrasound guided aspiration of endometrioma--a new therapeutic modality to improve reproductive outcome. | |
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MedLine Citation:
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PMID: 10390095 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the therapeutic efficacy and reproductive outcome following ultrasound guided aspiration (UGA) of endometrioma in infertile patients. METHOD: This is a prospective non-randomized clinical report of UGA in 22 infertile patients with endometrioma. The aspiration of endometriotic cysts was carried out transvaginally in nine and transabdominally in 13 patients. Following aspiration intranasal buserilin was given to eight and danazol to 14 patients. In the case of recurrence a reaspiration was done. Patients were allowed to conceive following medical therapy. Recurrence of endometrioma and conception rate was recorded and correlated with endometrioma size and volume aspirated. RESULT: A total of 47 aspirations were done. There were no procedure related complications. Reaspiration was required in six patients and one was operated (total recurrence 7/22--31.8%). During a mean follow-up of 20+/-8.4 months nine patients (40.9%) conceived and eight have already delivered at term. The recurrence risk and the conception rate was not affected by the cyst size or volume aspirated. CONCLUSION: UGA of endometrioma can be an effective and safe alternative therapeutic procedure in infertile patients with endometrioma to improve their reproductive outcome. |
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Authors:
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S Mittal; S Kumar; A Kumar; A Verma |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Volume: 65 ISSN: 0020-7292 ISO Abbreviation: Int J Gynaecol Obstet Publication Date: 1999 Apr |
Date Detail:
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Created Date: 1999-09-20 Completed Date: 1999-09-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0210174 Medline TA: Int J Gynaecol Obstet Country: IRELAND |
Other Details:
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Languages: eng Pagination: 17-23 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi. smittal@medinst.ernet.in |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Endometriosis / complications, surgery*, ultrasonography Female Humans Infertility, Female / etiology* Ovarian Diseases / complications, surgery*, ultrasonography Pregnancy Pregnancy Rate Prospective Studies Suction / methods |
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