Surgical Outcomes of Cystectomy Using Oxidized Regenerated Cellulose With and Without Drainage in Endometrioma Treatment

M. Luky Satria Marwali, Marcel Ezra Setiawan, Malvin Emeraldi, Agus Surur Asadi, Aditya Rangga Putera, Rany Ayu Puspitasari
In: Indonesian Journal of Obstetrics and Gynecology, Pp 143-148 (2025) · 2025 · doi:10.32771/inajog.v13i2.2748 · W4412978344
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This retrospective study found no significant difference in endometrioma recurrence rates between cystectomy with oxidized regenerated cellulose and drainage with oxidized regenerated cellulose one year post-surgery.

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This retrospective cohort study evaluated surgical outcomes for patients with endometrioma who underwent laparoscopic management using oxidized regenerated cellulose. The researchers compared recurrence rates between a cystectomy group and a drainage group over a one-year follow-up period, assessing outcomes through symptoms and ultrasound criteria. Although the drainage group exhibited a higher numerical recurrence rate of 29.6% compared to 20% in the cystectomy group, the difference was not statistically significant. The authors concluded that the use of oxidized regenerated cellulose resulted in no significant difference in recurrence rates between the two surgical approaches. This paper is centrally about endometriosis — specifically the treatment of ovarian endometriomas via cystectomy versus drainage.

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Abstract

Objective: Our study aims to compare cystectomy and drainage using oxidized regenerated cellulose (ORC) in reducing endometrioma recurrence after surgery. Methods: A retrospective cohort study included patients with endometrioma who undergo laparoscopic surgical management (cystectomy and drainage) with ORC from June 2020 – January 2023. All patients were followed up a year for recurrence rate. Recurrence was assessed based on symptoms and ultrasound criteria. All data were analyzed using SPSS version 26.0. Results: Twenty-five patients were included in the cystectomy group and twenty-seven patients were included in the drainage group. The recurrence rate was higher in patients who underwent drainage (29.6%, n = 8) than in patients who underwent cystectomy (20%, n = 5). The researchers found the result was not significant (p > 0.05) in the recurrence rate between the two groups. Conclusion: In this study, the use of oxidized regenerated cellulose showed no difference in recurrence rates in cystectomy with ORC and drainage with orc. Keywords: endometrioma, cystectomy, drainage, oxidized regenerated cellulose
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Indonesian Journal of Obstetrics and Gynecology (Jul 2025) Surgical Outcomes of Cystectomy Using Oxidized Regenerated Cellulose With and Without Drainage in Endometrioma Treatment Abstract Objective: Our study aims to compare cystectomy and drainage using oxidized regenerated cellulose (ORC) in reducing endometrioma recurrence after surgery. Methods: A retrospective cohort study included patients with endometrioma who undergo laparoscopic surgical management (cystectomy and drainage) with ORC from June 2020 – January 2023. All patients were followed up a year for recurrence rate. Recurrence was assessed based on symptoms and ultrasound criteria. All data were analyzed using SPSS version 26.0. Results: Twenty-five patients were included in the cystectomy group and twenty-seven patients were included in the drainage group. The recurrence rate was higher in patients who underwent drainage (29.6%, n = 8) than in patients who underwent cystectomy (20%, n = 5). The researchers found the result was not significant (p > 0.05) in the recurrence rate between the two groups. Conclusion: In this study, the use of oxidized regenerated cellulose showed no difference in recurrence rates in cystectomy with ORC and drainage with orc. Keywords: endometrioma, cystectomy, drainage, oxidized regenerated cellulose

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