Recommendations for the surgical treatment of endometriosis—part 1: ovarian endometrioma

作者：Working group of ESGE, ESHRE, and WES, Ertan Sarıdoğan, Christian M. Becker, Anis Féki, Grigoris Grimbizis, Lone Hummelshøj, J. Keckstein, Michelle Nisolle, Vasilios Tanos, Uwe Andreas Ulrich, Nathalie Vermeulen, Rudy Leon De Wilde · 发表于：Gynecological Surgery · 年份：2017 · DOI：10.1186/s10397-017-1029-x · 被引用次数：110 · 研究领域：Endometriosis Research and Treatment、Intestinal and Peritoneal Adhesions、Cancer Research and Treatment

STUDY QUESTION: What does this document on the surgical treatment of endometriosis jointly prepared by the European Society for Gynaecological Endoscopy (ESGE), ESHRE, and the World Endometriosis Society (WES) provide? SUMMARY ANSWER: This document provides recommendations covering technical aspects of different methods of surgery for endometriomas in women of reproductive age. WHAT IS ALREADY KNOWN: Endometriomas (ovarian endometriotic cysts) are a commonly diagnosed form of endometriosis, owing to the relative ease and accuracy of ultrasound diagnosis. They frequently present a clinical dilemma as to whether and how to treat them when found during imaging or incidentally during surgery. Previously published guidelines have provided recommendations based on the best available evidence, but without technical details on the management of endometriosis. STUDY DESIGN SIZE DURATION: A working group of ESGE, ESHRE and WES collaborated on writing recommendations on the practical aspects of endometrioma surgery. PARTICIPANTS/MATERIALS SETTING METHODS: This document focused on endometrioma surgery. Further documents in this series will provide recommendations for surgery of deep and peritoneal endometriosis. MAIN RESULTS AND THE ROLE OF CHANCE: The document presents general recommendations for surgery of endometrioma, and specific recommendations for cystectomy, ablation by laser or by plasma energy, electrocoagulation and a combination of these techniques applied together or with an...