Cited by 361Endometriosis Research and TreatmentGynecological conditions and treatmentsOvarian function and disorders

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Large ovarian endometriomas

Donnez, J., Nisolle, M., Gillet, N., Smets, M., Bassil, S., Casanas-Roux, F.·1996·Human Reproduction

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Abstract

The management of large endometriomas was described in a series of 814 patients. Combined therapy using gonadotrophin-releasing hormone agonist (GnRHa) and carbon dioxide laser laparoscopy was proposed. Drainage and GnRHa for 12 weeks provoked a reduction of the endometrioma size up to 50% of the initial value. After vaporization of the internal wall, a cumulative pregnancy of 51% after 1 year was achieved. A recurrence rate of 8% was observed for a follow-up of 2-11 years. Histological data demonstrated that the epithelium covering the ovary which is the mesothelium can invaginate in the ovarian cortex. Some of the invaginations were seen to be continuous with endometrial tissue, strongly suggesting the metaplasia theory in the pathogenesis of ovarian endometrioma.

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Crossref · 10.1093/humrep/11.3.641

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Ghafarnejad, M., Akrami, M., Tanha, F. D., Adabi, K., & Nekuie, S. (2014) · PubMed Central · Cited by 10
Surgical intervention in infertility management
Lok, F., Ledger, W. J., & Li, T. C. (2003) · Human Fertility · doi:10.1080/1464770312331369273 · Cited by 11
“The one area in which GnRH-a treatment does appear to be beneficial is as an adjuvant to a two-stage ablative procedure (Donnez et al., 1996).”
Background
Combined Medical and Surgical Treatment of Women with Endometriosis
Winkel, C. A. (1999) · Clinical Obstetrics & Gynecology · doi:10.1097/00003081-199909000-00018 · Cited by 10
Surgery for Endometriosis-Related Pain
Apı, M. (2015) · Women s Health · doi:10.2217/whe.15.52 · Cited by 11
Premature Ovarian Insufficiency and Diminished Ovarian Reserve: From Diagnosis to Current Management and Treatment
Houeis, L., Donnez, J., & Dolmans, M. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14217473 · Cited by 9
Self-citation
Do techniques of surgical management of ovarian endometrioma affect ovarian reserve? A narrative review
Samartzis, K., Kathopoulis, N., Loutradis, D., & Πρωτόπαπας, Α. (2021) · Journal of Obstetrics and Gynaecology · doi:10.1080/01443615.2021.1962817 · Cited by 9
Risques de la stimulation ovarienne et du prélèvement ovocytaire
Merviel, P., Cabry, R., Boulard, V., et al. (2009) · Gynécologie Obstétrique & Fertilité · doi:10.1016/j.gyobfe.2009.06.007 · Cited by 9
Bilateral partial oophorectomy in the management of severe ovarian hyperstimulation syndrome (OHSS): Ovarian mutilating surgery is not an option in the management of severe OHSS
Bellver, J. (2003) · Human Reproduction · doi:10.1093/humrep/deg285 · Cited by 9
Combining Sclerotherapy with CO2 Laser Ablation for the Laparoscopic Management of Large Endometrioma: Advantages and Pitfalls
Alec, M., Martino, A., Dällenbach, P., et al. (2022) · Journal of Minimally Invasive Gynecology · doi:10.1016/j.jmig.2022.12.014 · Cited by 8
Effects of Supplementation of Human Endometriotic Fluids on In Vitro Mouse Preantral Follicle Culture
Kim, S. K., Jee, B. C., & Kim, S. H. (2016) · Reproductive Sciences · doi:10.1177/1933719116678687 · Cited by 8
The Effects of Endometriosis on Ovarian Functions
Kitajima, M., Matsumoto, K., Kajimura, I., Harada, A., Miyashita, N., Matsumura, A., Kitajima, Y., & Miura, K. (2021) · Endocrines · doi:10.3390/endocrines2020014 · Cited by 9
What We Have Learned from Animal Models to Understand the Etiology and Pathology of Endometrioma-Related Infertility
Tan, Z., Hung, S. W., Xu, Z., Wang, C. C., Chung, J. P. W., & Zhang, T. (2022) · Biomedicines · doi:10.3390/biomedicines10071483 · Cited by 10
Assessment of the Ovarian Reserve Before and After Laparoscopic Surgery Using Two Different Techniques for Ovarian Endometrioma
Salem, H. A. (2013) · IOSR Journal of Dental and Medical Sciences · doi:10.9790/0853-0654348 · Cited by 8
“Removal of endometriomas has been associated with poorer performances in IVF procedures, and decreased ovarian volumes have also been reported after surgery (6)Recently, techniques such as combining cystectomy and ablative surgery, or a three-stage procedure, have been used to reduce the damage that cystectomy causes…”
Background
Evaluation of endometrioma size effect on ovarian reserve, embryo quality and pregnancy outcome after in vitro fertilization cycle; a cross-sectional study
Zareii, A., Askary, E., Ghahramani, A., Chamanara, K., Abadi, A. K. H., & Afzalzadeh, A. (2023) · BMC Women s Health · doi:10.1186/s12905-023-02482-1 · Cited by 7
Similar long-term recurrence rates with cystectomy and CO2 laser vaporization for endometrioma: a retrospective study
Bafort, C., Tawfic, N. M., Meuleman, C., Laenen, A., Timmerman, D., Schoubroeck, D. V., & Tomassetti, C. (2022) · Reproductive BioMedicine Online · doi:10.1016/j.rbmo.2022.02.024 · Cited by 7
New developments in reproductive surgery
Gordts, S. (2013) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2012.11.004 · Cited by 7
Ovarian endometriosis associated infertility: a modern view to the problem
Orazov, M. R., Khamoshina, M. B., Abitova, M. Z., Михалева, Л. М., Владимировна, В. С., Aryutin, D. G., & Shustova, V. B. (2020) · GYNECOLOGY · doi:10.26442/20795696.2020.5.200405 · Cited by 7
Peritoneal, Ovarian, and Rectovaginal Endometriosis are Three Different Entities
Donnez, J., Donnez, O., Lousse, J., & Squifflet, J. P. (2011) · Wiley eBooks · doi:10.1002/9781444398519.ch9 · Cited by 7
Self-citation
Surgical techniques for ovarian endometriosis
Grammatis, A. L., Lazaridis, A., Becker, C. M., & Sarıdoğan, E. (2024) · The Obstetrician & Gynaecologist · doi:10.1111/tog.12947 · Cited by 7
“67 While the study did not evaluate reproductive outcomes, it demonstrated a signiﬁcantly higher AFC in patients undergoing the three-step procedure.”
Influential
Évaluation par échographie tridimensionnelle de la réduction du volume des ovaires après kystectomie des endométriomes
Mokdad, C., Auber, M., Vassilieff, M., DIGUET, A., Bourdel, N., Marpeau, L., & Roman, H. (2011) · Gynécologie Obstétrique & Fertilité · doi:10.1016/j.gyobfe.2011.07.038 · Cited by 6
Secretory Leukocyte Protease Inhibitor in Ovarian Endometriomas Following GnRH Agonist Therapy
Suzumori, N., SATO, M., IKUTA, K., & SUZUMORI, K. (2001) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(00)01200-x · Cited by 6
“It also has been reported that more than half of ovarian endometriomas are decreased in size by treatment with drainage and GnRH agonist.(11) The induced hypogonadal state causes regression, which allows for symptomatic improvement.”
Background
Endométriome ovarien associé à une infertilité : quelle est la place de l'abstention thérapeutique?
Audebert, A. J. M. (2005) · Gynécologie Obstétrique & Fertilité · doi:10.1016/j.gyobfe.2005.04.019 · Cited by 6

Authors: Donnez, J., Nisolle, M., Gillet, N., Smets, M., Bassil, S., & Casanas-Roux, F.
Affiliations: Cliniques Universitaires Saint-Luc (BE)
Venue: Human Reproduction
Publisher: Oxford University Press (OUP)
Published: 1996-03-01
Volume: 11
Issue: 3
Pages: 641-645
ISSN: 0268-1161 (ISSN-L)
1460-2350
DOI: 10.1093/humrep/11.3.641
OpenAlex: W1971732433
Cited by: 360
References: 0
Citations by year: 2026: 3 · 2025: 6 · 2024: 12 · 2023: 9 · 2022: 8 · 2021: 15 · 2020: 17 · 2019: 12 · 2018: 17 · 2017: 16 · 2016: 11 · 2015: 15 · 2014: 14 · 2013: 20 · 2012: 11
FWCI: 7.07
Type: journal article
Language: en
Open access: closed
Locations: Human Reproduction (publishedVersion)
PubMed (publishedVersion)
Digital Access to Libraries (submittedVersion)
Open Repository and Bibliography (University of Liège) (submittedVersion)
Topics: Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
Keywords: endometrioma, GnRH agonist, carbon dioxide laser vaporization, laparoscopic surgery, pregnancy rate, recurrence, metaplasia
MeSH terms: Combined Modality Therapy, Endometriosis, Female, Humans, Infertility, Female, Gonadotropin-Releasing Hormone, Metaplasia, Ovarian Cysts, Ovarian Diseases, Pregnancy, Recurrence, Goserelin, Laser Therapy

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