Department of Obstetrics and Gynecology, Università Campus BioMedico, Rome, Italy.
J Minim Invasive Gynecol. 2011 Sep-Oct;18(5):666-7. doi: 10.1016/j.jmig.2011.06.016.
Recently, data have been published on the possible damage to the healthy ovarian tissue determined by surgery for the excision of endometriomas. We believe that, besides endometriosis in itself, the overall quality of surgery may have a major role in determining damage to the ovary. In recent years, surgeons dedicated to the treatment of endometriosis have refined the technique of laparoscopic surgery for the excision of endometriomas, with particular attention in developing the correct plane of cleavage and in the judicious use of electrosurgery. Quality of the surgery, and not surgery per se, may be important. Surgery is the gold standard treatment for ovarian endometriomas, but it should be performed with proper techniques by specifically trained surgeons. It's the singer, not the song.
最近,有数据表明,手术切除子宫内膜异位症囊肿可能会对健康的卵巢组织造成损害。我们认为,除了子宫内膜异位症本身,手术的整体质量可能在很大程度上决定了卵巢的损伤。近年来,致力于治疗子宫内膜异位症的外科医生已经改进了腹腔镜手术切除子宫内膜异位症囊肿的技术,特别注意正确的分离平面,并明智地使用电外科。手术的质量而不是手术本身可能很重要。手术是治疗卵巢子宫内膜异位症的金标准,但应由经过专门培训的外科医生采用适当的技术进行。重要的是外科医生,而不是手术本身。