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Updated: Feb 18, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
[Management of endometrioma]
Pauline Chauvet1, Horace Roman2, Anne-Sophie Gremeau1
1CHU de Clermont-Ferrand, CHU Estaing, service de gynécologie obstétrique et reproduction humaine, gynécologie A, 1, place Lucie-Aubrac, 63100 Clermont-Ferrand, France; Faculté de médecine, centre international de chirurgie endoscopique (CICE), bâtiment 3C, 28, place Henri-Dunant, 63000 Clermont-Ferrand, France.
Abstract:
Preoperative evaluation: clinical examination, and research for associated lesions. Laparoscopic approach. Cystectomy: gold standard, conformed to the endometrioma pathophysiology (3 zones). Laser CO2 Plasmajet® vaporisation: important data lead to legitimate utilisation. Haemostasis: be patient! Use of bipolar energy sparingly. Look for other endometriotic lesions, and systematic treatment. Preoperative medical treatment not always useful. Postoperative treatment: decrease recurrence. Especially for patients with no immediate pregnancy desire.

