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Updated: Dec 25, 2025
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
A new approach to avoid ovarian failure as well function-impairing adhesion formation in endometrioma infertility
Luz Angela Torres-de la Roche1, Rajesh Devassy2, Maya Sophie de Wilde1
1University Hospital for Gynecology, Pius Hospital, University Medicine Oldenburg, Georgstrasse 12, 26121, Oldenburg, Germany.
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.
