Author: Toru Hachisuga

Source: Human Reproduction, Volume 17, Number 2, February 2002 , pp. 432-435(4)

Publisher: Oxford University Press

Abstract:

BACKGROUND: The best operative procedure for the laparoscopic treatment of ovarian endometriotic cysts has yet to be defined. The purpose of this study was to evaluate the association between laparoscopic cystectomy and loss of follicles. METHODS: Videotape records of the laparoscopic removal of 73 ovarian cysts, histologically confirmed in the focal endometrial epithelial lining, were retrospectively reviewed. They were divided into two groups: group 1 (61 cysts) in which the capsule was easily stripped from the underlying ovarian tissue and group 2 (12 cysts) in which the capsule could hardly be stripped from the underlying ovarian tissue. Main outcome measures included attached capsular structures and the number of attached follicles. RESULTS: Microscopically in all group 1 cysts, normal ovarian stroma was attached to the resected side of the capsule. In addition, 30/61 (49.1%) of group 1 cysts were attached to the corpus albicans. The primordial follicle was found within the capsule of 42/61 (68.9%) group 1 cysts. The number of primordial follicles ranged from 1–25 (mean 6.6). In group 2 cysts, no primordial follicles were found. CONCLUSION: The relative ease of removal of the capsules is probably associated with loss of follicles and damage to the ovarian stroma.

Keywords: cystectomy; endometriosis; histopathology; laparoscopy; ovary

Document Type: Research article

Affiliations: 1: Department of Obstetrics and Gynecology, Fukuoka University School of Medicine, 45-1, 7-chome, Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan

Publication date: 2002-02-01

More about this publication?

• Human Reproduction features full-length, peer-reviewed papers reporting original research, clinical case histories, as well as opinions and debates on topical issues. Papers published cover the scientific and medical aspects of reproductive physiology and pathology, endocrinology, andrology, gonad function, gametogenesis, fertilization, embryo development, implantation, pregnancy, genetics, genetic diagnosis, oncology, infectious disease, surgery, contraception, infertility treatment, psychology, ethics and social issues. The highest scientific and editorial standard is maintained throughout the journal along with a rapid rate of publication.

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