Feasibility study of a S-shaped incision technique in endometrioma surgery: Cold dissection with no thermal injury

Abolfazl Mehdizadeh, Mehdizadeh A, Shahla Chaichian, Marziyeh Ajdary, Ajdary M, Mohazzab A, Arash Mohazzab
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2026 · vol. 46(1) , pp. 2757461 · doi:10.1080/01443615.2026.2757461 · PMID:42975319 · W7225197605
Other OA: gold public-domain-us
📄 Open PDF View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by qwen3.7-flash, 2026-11-05 ⓘ

A pilot study of twelve patients demonstrated that an S-shaped incision with cold dissection for endometrioma surgery is technically feasible and safe, preserving ovarian reserve markers without thermal injury.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Preserving ovarian reserve while minimising recurrence remains a major challenge in endometrioma surgery. Conventional bipolar excision may cause thermal injury to the ovarian cortex and impair fertility potential. We conducted a pilot feasibility study of a technical modification of laparoscopic cystectomy using an S-shaped incision at the ovarian hilum with cold dissection to reduce thermal exposure and cortical damage. Twelve patients underwent cystectomy with this approach, and all procedures were completed without intraoperative complications. Postoperative evaluation included serum anti-Müllerian hormone (AMH), antral follicle count (AFC), pain score, CA-125, and sonographic assessment. Early postoperative findings were compatible with short-term technical feasibility and safety in this small initial series. The observed postoperative changes in ovarian reserve markers and symptoms provide preliminary data to inform future comparative studies with longer follow-up.

My notes (saved in your browser only)

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Laparoscopy Laparoscopy Laparoscopy Laparoscopy Laparoscopy Laparoscopy Laparoscopy Laparoscopy Laparoscopy

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (9)

Source provenance

europepmc
last seen: 2026-11-08T09:52:27.483963+00:00
openalex
last seen: 2026-11-13T06:53:04.716285+00:00
pubmed
last seen: 2026-11-13T06:54:48.021411+00:00
License: public-domain-us · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine