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International Journal of Fertility and Sterility، جلد ۸، شماره ۲.۵، صفحات ۲۲۲-۲۲۲
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عنوان انگلیسی P-211: Recurrence Rate of Ovarian Endometriomas after A Laparoscopic Excision
چکیده انگلیسی مقاله Background: Endometrioma is a common cause of gynecologic morbidity and the most common benign ovarian cysts are found at surgery. One of the most troubling aspects of treating endometrioma with laparoscopic excision is disease recurrence after surgery. Present study was conducted to evaluate risk factors for the recurrence of endometrioma after first laparoscopic excision. Materials and Methods: A total of 130 patients who had a minimum of one year post-operative follow-up after first laparoscopic ovarian endometrioma excision were studied. Recurrence was considered as the presence of endometrioma more than 2 cm in size, detected by ultrasonography within one year after the surgery. The variables including age at surgery, history of infertility, presence of uterine myoma, previous medicine therapy for endometriosis, the size of the largest cyst at laparoscopy, unilateral or bilateral cysts, serum CA125 level, revised American Society for Reproductive Medicine (ASRM) score and stage, post-operative medical treatment and post-operative treatment were evaluated to assess their independent effects on the recurrence using logistic regression analysis. Results: The rate of recurrence was 11.5%. Multivariate regression analysis demonstrated that the following factors were significantly associated with increased risk of recurrence; the larger cyst [odds ratio (OR)=4.0, 95% confidence interval (95% CI)=1.6-10.4, p=0.002], a high rASRM score (OR=1.2, 95% CI=1.0-1.4, p=0.04) and the younger age at surgery (OR=0.6, 95% CI=0.4-0.9, p=0.01). Conclusion: Detection of risk factors for recurrence of endometrioma is very important to clarify the related factors to the possible causes of recurrence. The present results suggested that recurrence of endometrioma be inversely related to age at surgery and directly with total rASRM score and the size of cyst.
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نشانی اینترنتی http://ijfs.ir/journal/article/abstract/4075
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