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Updated: Jun 4, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Efficacy of laparoscopic stripping for ovarian cysts: histological and clinical findings
Giovanni Retto1, Giuseppe Santoro, Emanuele Sturlese
1Department of Gynaecology, Obstetrics and Physiopathology of the Human Reproduction, A.O.U. Policlinic G. Martino, University of Messina, Via Consolare Valeria, Messina, Italy.
Aim:
The aim of our study was to evaluate the efficacy of the laparoscopic stripping technique on benign ovarian masses with respect to healthy ovarian tissue.
Material And Methods:
Seventy-six patients between 14 and 40 years of age were enrolled after receiving a diagnosis of mono-lateral ovarian cyst and underwent laparoscopic surgery for cyst excision with the stripping technique. Histological observations of these specimens were then performed and graded on a semiquantitative scale.
Results:
The 76 samples included 36 endometriotic cysts, 18 dermoid cysts, 12 serous cysts, and 10 mucinous cysts. Only 26 of the endometriomas showed histological evidence of healthy ovarian tissue that, however, differed morphologically from normal ovarian tissue.
Conclusion:
The laparoscopic stripping technique used for the excision of different ovarian cysts is a practice that safeguards the organ.

