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Updated: Jul 5, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Fibrotic tissue in the endometrioma capsule: surgical and physiopathologic considerations from histologic findings
Mario Vicino1, Marco Scioscia, Leonardo Resta
1Department of Gynaecology, Obstetrics and Neonatology, University of Medical Science of Bari, Bari, Italy.
Abstract:
Ovarian tissue inadvertently excised along with endometriomas was associated with the presence of pericystic fibrosis and serum levels of CA-125, representing the only clinical parameter for predicting follicle loss before surgery. A consecutive series of 91 ovarian endometriotic cysts were studied, and an inverse relationship between serum CA-125 and the thickness of the fibrotic tissue of the endometrioma capsule was demonstrated.
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