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Ovarian cystectomy

David M Gershenson
Approximately 3000 American women are diagnosed with borderline ovarian tumours annually. Borderline tumours are similar to other types of adnexal masses. Prognostic factors include the International Federation of Gynecology and Obstetrics (FIGO) stage, presence of peritoneal implants, micropapillary pattern (for serous histology), microinvasion and intra-epithelial carcinoma (for mucinous histology). Approximately 65-70% of serous tumours and 90% of mucinous tumours are stage I, and 30% and 10%, respectively, are associated with extra-ovarian spread...
October 3, 2016: Best Practice & Research. Clinical Obstetrics & Gynaecology
Fredrik Liedberg, Georg Jancke, Anne Sörenby, Päivi Kannisto
Radical cystectomy with neoadjuvant chemotherapy is the gold standard for treating muscle-invasive bladder cancer. Women subjected to radical cystectomy are frequently postmenopausal, and the median age for bladder cancer diagnosis in women in Sweden is currently 73 yr (Swedish National Bladder Cancer Register). Traditionally, most women treated with radical cystectomy have undergone simultaneous bilateral oophorectomy and hysterosalpingectomy to diminish the risk of later ovarian disease and ovarian bladder cancer recurrence, but also the belief that there is no impact on health or health-related quality of life associated with oophorectomy and the fact that it might be easier surgery to take the ovarian pedicles, rather than sparing the ovaries...
October 19, 2016: European Urology
Sungwook Chun, Hyun Jin Cho, Yong Il Ji
OBJECTIVE: To evaluate the change of ovarian reserve after unilateral laparoscopic ovarian cystectomy (LOC) in the early postoperative period between patients divided according to histologic diagnosis of cyst type. MATERIALS AND METHODS: Sixty-five patients who were undergoing unilateral LOC for benign ovarian disease were included in this study. All participants were divided into three groups according to histologic diagnosis: endometrioma (n=26), mature teratoma (n=24), and other benign cyst (n=15)...
October 2016: Taiwanese Journal of Obstetrics & Gynecology
Patcharapa Thaweekul, Yuthadej Thaweekul, Karicha Mairiang
A 13-year-old, obese girl presented with acute abdominal pain with abdominal distension for a year. The physical examination revealed marked abdominal distension with a large well-circumscribed mass sized 13×20 cm. Her body mass index (BMI) was 37.8 kg/m2. An abdominal CT scan revealed a huge multiloculated cystic mass and a left adnexal mass. She had an abnormal fasting plasma glucose and low HDL-C. Laparotomy, right salpingooophorectomy, left cystectomy, lymph node biopsies and partial omentectomy were performed...
December 2016: Asia Pacific Journal of Clinical Nutrition
M Clark, T Zigras, L Bayat, S Kashani
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
P E Silva-Melendez, R Burgos-Rodriguez
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
J C Yano, A Fallahi, V Kolev
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
R A Alammari, E B Greenberg
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
I Motte, H Roman, B Clavier, F Jumeau, I Chanavaz-Lacheray, M Letailleur, B Darwish, N Rives
OBJECTIVE: Ovarian endometrioma ablation using plasma energy appears to be a valuable alternative to cystectomy, because it could spare underlying ovarian parenchyma resulting in high spontaneous and overall pregnancy rates. After initial postoperative decrease, anti-mullerian hormone (AMH) level progressively increases several months after ablation. The aim of our study was to assess the outcomes of in vitro fertilization (IVF) in women managed for ovarian endometriomas by ablation using plasma energy, when compared to those in women free of endometriosis...
September 21, 2016: Gynécologie, Obstétrique & Fertilité
Ozlem Dural, Cenk Yasa, Ercan Bastu, Funda Gungor Ugurlucan, Gamze Yilmaz, Bahar Yuksel, Suleyman Engin Akhan, Faruk Buyru
AIM: To evaluate the outcomes of laparoscopic surgery for the treatment of adnexal pathology in older children and adolescents. METHODS: We retrospectively reviewed medical records of 69 pediatric and adolescent patients aged between 9 and 19 years who underwent laparoscopic surgery for adnexal pathology in a tertiary academic center in Istanbul, Turkey, from January 2005 through September 2015. Patients who were pregnant or had non-gynecology pathology detected during surgery were excluded from the study...
September 20, 2016: Journal of Pediatric and Adolescent Gynecology
A Corpade, F Olaru, C Olaru
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
Chun-Hua Zhang, Ling Wu, Pei-Quan Li
OBJECTIVE: To evaluate the impact of different hemostasis methods on ovarian reserve in laparoscopic cystectomy in treatment of ovarian endometrioma for the long-term. MATERIALS AND METHODS: A total of 207 patients with ovarian endometrioma, aged from 18 years to 45 years, were randomized into three groups: Group A (69 patients) treated by bipolar electrocoagulation hemostasis in laparoscopic cystectomy for ovarian endometrioma; Group B (69 patients) with ultrasound scalpel hemostasis; and Group C (69 patients) with suture technique hemostasis...
August 2016: Taiwanese Journal of Obstetrics & Gynecology
Oana Mircea, Lucian Puscasiu, Benoit Resch, Jerome Lucas, Pierre Collinet, Peter Von Theobald, Philippe Merviel, Horace Roman
STUDY OBJECTIVE: To compare the probability of postoperative pregnancy in infertile women with ovarian endometrioma larger than 3 cm in diameter, managed by either ablation using plasma energy or cystectomy. DESIGN: A multicentric prospective case-control study enrolling 104 infertile patients managed for ovarian endometrioma larger than 3 cm diameter: 64 patients underwent ablation using plasma energy (cases) and 40 underwent cystectomy (controls). Patients were enrolled in CIRENDO prospective cohort database (NCT02294825) from June 2009 to June 2014 and man- aged in six different facilities...
August 20, 2016: Journal of Minimally Invasive Gynecology
Fuminori Taniguchi, Yasuko Sakamoto, Yuko Yabuta, Yukihiro Azuma, Eriko Hirakawa, Kei Nagira, Takashi Uegaki, Imari Deura, Koukichi Hata, Tasuku Harada
AIM: Excision of ovarian endometrioma (OE) may induce the reduction of ovarian reserve. We evaluated pregnancy outcomes after laparoscopic cystectomy (LC), and the pre- and postoperative levels of anti-Müllerian hormone (AMH) to consider the ovarian reserve. METHODS: We enrolled 40 women with OE and 16 women with benign ovarian tumors who hoped to have a child and who underwent LC. To evaluate the ovarian reserve of 40 patients (OE group, n = 24; non-OE group, n = 16), we measured serum AMH levels before and after the surgery...
August 16, 2016: Journal of Obstetrics and Gynaecology Research
Charuwan Tantipalakorn, Atiwat Soontornpun, Tip Pongsuvareeyakul, Theera Tongsong
This report is aimed to describe a life-threatening case of anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis secondary to ovarian teratoma with rapid recovery in 1 day after the removal of the tumour. A 23-year-old woman presented with sudden headache, personality changes and seizure. After neurological assessment, limbic or herpes encephalitis was provisionally diagnosed and treated with intravenous immunoglobulin, acyclovir and steroids. The patient had progressive severe neurological symptoms, requiring prolonged intubation and mechanical ventilation...
2016: BMJ Case Reports
Oybek Rustamov, Monica Krishnan, Stephen A Roberts, Cheryl T Fitzgerald
Pelvic surgery can affect ovarian reserve, but estimates of the potential effect of different surgical procedures are lacking. This study examines the markers of ovarian reserve after different procedures in order to help the provision of informed consent before surgery. Anti-Müllerian hormone (AMH), antral follicle count (AFC) and follicle-stimulating hormone (FSH) of women with a history of salpingectomy, ovarian cystectomy or unilateral salpingo-oophorectomy were compared to those without history of surgery using cross-sectional data adjusting for patient and clinical factors in multivariable regression model...
2016: Gynecological Surgery
Hashin Kim, Mina Jeong, Seul Ki Kim, Byung Chul Jee
This study assesses the fertilization and blastocyst-forming rate in mice cumulus-oocyte complexes (COCs) after the exposure of human ovarian endometriotic fluid. Endometriotic fluid was obtained from a single patient by aspiration at the time of a laparoscopic cystectomy and serially diluted. COCs were obtained from 46-week-old female BDF1 mice. After exposure to ovarian endometriotic fluid for five minutes, the COCs were washed three times and the oocytes were then fertilized by mice sperm. The fertilization and blastocyst formation rate and the proportion of hatching/hatched blastocyst in the four treatment groups were not inferior to those in non-exposure group...
July 2016: Obstetrics & Gynecology Science
Jongchul Baek
Primary carcinoma of the fallopian tube represents <1% of all gynecological tumors, and benign tumors of the fallopian tube are encountered even less frequently. Mature teratomas of the fallopian tube and ovary are extremely rare, and to date, only a few cases have been reported. A 31-year-old woman presented with a left adnexal mass that was identified by pelvic ultrasonography during a regular checkup. The patient underwent laparoscopic left salpingectomy and left ovarian cystectomy. Histopathological examination of the removed tissue revealed features compatible with mature cystic teratomas of both the left fallopian tube and ovary...
August 2016: Oncology Letters
Cagdas Sahin, Ali Akdemir, Ahmet Mete Ergenoglu, Banu Ozgurel, Ahmet Ozgur Yeniel, Dilek Taskiran, Fatih Sendag
The aim of the present study was to determine the long-term effects of different laparoscopic hemostatic techniques on ovarian reserve after ovarian cystectomy. Ninety patients with unilateral ovarian cysts were recruited and randomly distributed into 2 groups. Laparoscopic stripping cystectomy was performed in all patients. Afterward, cystectomy hemostasis was achieved via hemostatic suture or bipolar electrocoagulation. Serum levels of anti-Müllerian hormone (AMH) were determined preoperatively and postoperatively at 1, 3, and 12 months, and patients were evaluated for residual ovarian volume, antral follicle count, and pregnancy...
July 19, 2016: Reproductive Sciences
Rie Ozaki, Jun Kumakiri, Andrea Tinelli, Grigoris F Grimbizis, Mari Kitade, Satoru Takeda
BACKGROUND: Ovarian endometriomas affect a substantial proportion of women of reproductive age who may have a potential risk of diminished ovarian reserve (DOR) after ovarian cystectomy. Here, we investigated the risk factors for pre-surgical DOR in patients with ovarian endometriomas and for DOR after laparoscopic ovarian cystectomy for endometriomas and evaluated the feasibility of the pre-surgical prediction of post-surgical DOR based on the Bologna criteria. METHODS: A total of 143 patients with ovarian endometriomas who underwent laparoscopic cystectomy from January 2009 to May 2015 at our hospital were prospectively enrolled and evaluated...
2016: Journal of Ovarian Research
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