Recurrence rate and factors associated with ovarian endometrioma recurrence following laparoscopic ovarian cystectomy
Keywords:
endometrioma, laparoscopic ovarian cystectomy, risk factors, recurrentAbstract
Introduction: Recurrence of ovarian endometrioma following laparoscopic ovarian cystectomy can be caused by many factors. In patients with high risk factors for recurrent endometrioma, close monitoring and appropriate postoperative treatment may be required to prevent recurrence.
Objectives: To determine the recurrence rate, cumulative recurrence rate and factors associated with recurrent ovarian endometrioma after laparoscopic ovarian cystectomy.
Research methodology: A retrospective cohort study was conducted. Data were collected from the medical records of patients diagnosed with ovarian endometrioma who underwent laparoscopic ovarian cystectomy and had pathologically confirmed endometriosis at Nakornping Hospital from January 2013 to June 2023.
Results: Of the 75 patients, with a median follow-up duration of 7 months, 9 experienced recurrent ovarian endometrioma, while 66 did not. The recurrence rate was 12%. The cumulative recurrence rates at 6, 12, and 24 months were 6.37%, 19.7%, and 19.7%, respectively. Factors evaluated included age, BMI, nulliparity, size and laterality of the cyst, symptoms, associated diseases, revised American Society for Reproductive Medicine (rASRM) stage, pre-operative and post-operative hormonal treatment, and post-operative pregnancy. No associations were found with factors related to recurrent ovarian endometrioma. Pelvic endometriosis appeared to be a contributing factor associated with recurrent ovarian endometrioma (Adj. HR 11.96, 95% CI 0.97-146.51, p=0.052).
Conclusion: The patient factors studied were not associated with the recurrence of ovarian endometrioma following laparoscopic ovarian cystectomy. Therefore, extending the follow-up period and increasing the study population will help to further evaluate these factors.
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