الفهرس 
Classification of endometriosisOnly 14 pages are availabe for public view
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Abstract
SUMMARY
Endometrioma is the formation of a cyst within the ovary with ectopic
endometrium tissue lining and is found to be in 17%–44% of patients with
endometriosis. It is hypothesized that endometriomas arise as a consequence of
coelomic metaplasia of the ovarian epithelium or the invagination of the inverted
ovarian cortex after implantation of the endometriotic foci on the ovarian surface.
In either case the cyst has a pseudocapsule adjacent to the normal ovarian tissue.
Although the most effective treatment modality of endometrioma is controversial,
laparoscopic excision by the stripping technique is accepted to be the gold standard
surgical approach but in comparison to drainage and ablative surgery, excision of
endometriomas are better in terms of reduced pain, , and decreased recurrence and
reoperation rates, but one of the major concerns about excision of endometriomas
is their negative effect on ovarian reserve.
The aim of this study is to determine whether laparoscopic surgical excision or
ablation is the optimum surgical management of ovarian endometriomas with
respect to pain, recurrence, ovarian reserve and fertility outcomes.
The study included forty women attended the gynecological and infertility clinic
of Tanta University hospital presented by ovarian endometrioma measuring three
centimeters or more unilateral or bilateral. Their ages ranged between 18 – 40
years and AMH above 2.0ng /ml.
The forty women randomly allocated using computer program into two
groups according to subsequent management.
group I: Twenty one cases subjected to laparoscopic ovarian cystectomy
(stripping) of endometrioma.