Improvement of pain after Laparoscopic Ovarian Cystectomy of Ovarian Endometriomas versus Deroofing | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 138, Volume 100, Issue 1, July 2025, Page 3513-3516 PDF (548.18 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2025.446343 | ||||
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| Abstract | ||||
| Background: Endometriosis is characterized by presence of ectopic endometrial glands and stroma outside uterine cavity. It presents with pelvic pain, dysmenorrhea, and infertility, affecting 7–10% of the general female population and up to 50% of women with infertility. Objective:This study aimed to evaluate the effect on pain intensity following treatment of ovarian endometriomas using either deroofing or ovarian cystectomy. Methods: This randomized experiment was conducted on 34 women who were eligible for laparoscopic surgery due to endometriomas. The patients were randomly assigned into two equal groups: Cystectomy group: complete removal of the whole cyst within the cyst wall and deroofing group by making a permanent opening at the cyst wall to permit drainage. Results: At 8 weeks postoperatively, the studied groups were comparable in terms of percent change in VAS pain score compared to preoperative values, whereas at 6 months postoperatively, a statistically significant difference was observed, with the cystectomy group showing a significantly greater percent decrease in measures. At 8 weeks postoperatively, no patients had recurrence. The recurrence rates at 6 months postoperatively were comparable between the studied groups, with no statistically significant difference. Conclusion: Ovarian cystectomy and deroofing methods were similar regarding recurrence 6 months postoperatively and VAS pain score preoperatively or 8 weeks postoperatively. Ovarian cystectomy and deroofing methods decreased VAS pain score 8 weeks and 6 months postoperatively. Cystectomy is regarded as the gold-standard surgical technique due to its lower risk of ovarian endometriomas (OMA) recurrence and endometriosis related pain. | ||||
| Keywords | ||||
| Pelvic pain; Laparoscopic ovarian cystectomy; Ovarian endometriomas; Deroofing | ||||
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