Abstract
Purpose
Deep ovarian endometriosis surgery is likely to be associated with diffuse bleeding, intraoperative ovarian tissue destruction and perioperative adhesion formation. A new surgical approach is hereby proposed to avoid the negative short-term impact of classic laparoscopic cystectomy on ovarian reserve.
Results
The need for intraoperative periovarian coagulation after endometrioma excision was avoided by combining the gold standard minimal-access endometrioma stripping technique with a purely plant-based medical product with high-hemostatic and antiadhesion barrier properties.
Conclusion
Endometrioma stripping followed by the application of a polysaccharide agent could avoid ovarian failure and at same time could reduce adhesion formation, thereby preserving tubo-ovarian function in endometrioma surgery. We encourage other surgically working groups to investigate middle- and long-term effects of this combined technique.
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References
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Funding
The funding was provided by PlanTec Medical GmBH (Germany) (Grant No. 2018).
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All authors contributed to the paper conception and design. The first draft of the manuscript was written by LATR and RD and all authors commented on and reviewed the following versions of the manuscript. All authors read and approved the final manuscript.
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Dr. De Wilde reports personal fees from PlanTec Medical GmbH, Bad Bevesen, Germany, outside the submitted work. The authors have received a reimbursement travel by PlanTec Medical GmBH, Bad Bevensen, Germany, to present these data during an international congress. However, the financial support for this work did not influence its outcome.
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Procedures performed involving human participants were in accordance with the ethical standards of the institution.
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Informed consent was obtained from individual participants prior to surgery.
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Torres-de la Roche, L.A., Devassy, R., de Wilde, M.S. et al. A new approach to avoid ovarian failure as well function-impairing adhesion formation in endometrioma infertility surgery. Arch Gynecol Obstet 301, 1113–1115 (2020). https://doi.org/10.1007/s00404-020-05483-9
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DOI: https://doi.org/10.1007/s00404-020-05483-9