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JoVE Journal

Medicine

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Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma

13.7K Views

11:29 min

January 22nd, 2022

January 22nd, 2022

13,681 Views

0:18

Introduction

0:57

Case Study

1:17

Preoperative Evaluation

3:15

Exam Under Anesthesia and Diagnostic Laproscopy

4:29

Lysis of Adhesions

5:42

Chromopertubation

6:30

Address Tubal Pathology

7:18

Ovarian Endometrioma Cystectomy

9:04

Lateral Thermal Spread

9:39

Address Remaining Sites of Endometriosis

10:01

Closure

10:12

Results

10:36

Conclusion

Transcript

Surgical techniques to optimize ovarian reserve during laparoscopic cystectomy for ovarian endometrioma. This protocol describes several fertility-sparing techniques performed during cystectomy for ovarian endometrioma. These techniques demonstrat

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This protocol presents techniques to laparoscopically excise ovarian endometrioma, to perform adhesiolysis with sparing electrosurgical application, and to employ intraoperative chromopertubation to assess for genital tract patency. This systematic approach will facilitate optimal endometriosis management, guide concomitant adnexal surgeries, and enhance post-surgical fertility outcomes.

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