Urman Bulent
Obstetrics & Gynecology & Assisted Reproduction Unit, American Hospital, Istanbul, Department of Obstetrics & Gynecology, Koc University, Faculty of Medicine, Guzelbahce sokak No:20, Nisantasi, Istanbul, Turkey.
Womens Health (Lond). 2015 Aug;11(5):677-83. doi: 10.2217/whe.15.54. Epub 2015 Aug 28.
Endometrioma surgery should be planned and executed very carefully as it is associated with risks that may hamper future reproductive potential. Symptoms, age, risk of malignancy, bilaterality, ovarian reserve, and desire to have children should all be taken into account prior to surgical intervention. Cyclic and noncyclic severe pain may be an indicator or deep infiltrating diseases. Laparoscopic surgery is the gold standard, however, the issue of resection versus ablation should be further studied.
子宫内膜异位囊肿手术的规划和实施应非常谨慎，因为它存在一些可能会影响未来生育潜能的风险。在进行手术干预之前，应综合考虑症状、年龄、恶性肿瘤风险、双侧性、卵巢储备功能以及生育意愿等因素。周期性和非周期性的剧痛可能是深部浸润性疾病的一个指标。腹腔镜手术是金标准，然而，切除与消融的问题仍有待进一步研究。
