Manejo quirúrgico del endometrioma en pacientes con deseo genésico

Abstract

Endometriosis is a syndrome characterized by the presence of ectopic endometrial tissue. Endometrioma is its most common form of presentation, especially in moderate and severe stages of the disease.

The objective of this work was to conduct a review of the surgical treatment of endometrioma through an updated literature search, which included 56 articles.

In women with endometrioma, the ovarian reserve decreases and surgical techniques cause further reduction. Ovarian cystectomy is the technique of choice for the treatment of endometrioma. Sclerotherapy should be considered in recurrent endometriomas where ovarian preservation is relevant. Other techniques, such as CO2 laser vaporization or plasma ablation, show promising results in terms of recurrence and preservation of ovarian tissue. However, the management of endometrioma remains a challenge in reproductive medicine, where an individualized approach is essential.