Torres-de la Roche Luz Angela, Devassy Rajesh, de Wilde Maya Sophie, Cezar Cristina, Krentel Harald, Korell Matthias, De Wilde Rudy Leon
University Hospital for Gynecology, Pius Hospital, University Medicine Oldenburg, Georgstrasse 12, 26121, Oldenburg, Germany.
Department of Obstetrics and Gynecology, Dubai London Clinic and Speciality Hospital, 3371500, Dubai, United Arab Emirates.
Arch Gynecol Obstet. 2020 May;301(5):1113-1115. doi: 10.1007/s00404-020-05483-9.
Deep ovarian endometriosis surgery is likely to be associated with diffuse bleeding, intraoperative ovarian tissue destruction and perioperative adhesion formation. A new surgical approach is hereby proposed to avoid the negative short-term impact of classic laparoscopic cystectomy on ovarian reserve.
The need for intraoperative periovarian coagulation after endometrioma excision was avoided by combining the gold standard minimal-access endometrioma stripping technique with a purely plant-based medical product with high-hemostatic and antiadhesion barrier properties.
Endometrioma stripping followed by the application of a polysaccharide agent could avoid ovarian failure and at same time could reduce adhesion formation, thereby preserving tubo-ovarian function in endometrioma surgery. We encourage other surgically working groups to investigate middle- and long-term effects of this combined technique.
深部卵巢子宫内膜异位症手术可能会伴有弥漫性出血、术中卵巢组织破坏以及围手术期粘连形成。特此提出一种新的手术方法，以避免传统腹腔镜囊肿切除术对卵巢储备功能产生的短期负面影响。
通过将金标准的微创子宫内膜瘤剥除技术与具有高止血和抗粘连屏障特性的纯植物性医疗产品相结合，避免了子宫内膜瘤切除术后术中卵巢周围凝血的需要。
子宫内膜瘤剥除术后应用多糖类药物可避免卵巢功能衰竭，同时可减少粘连形成，从而在子宫内膜瘤手术中保留输卵管卵巢功能。我们鼓励其他手术工作组研究这种联合技术的中长期效果。
