- Academic Editor
-
-
-
Background: Ovarian endometriomas are a common gynecological disease in
women of childbearing age. Laparoscopic surgery is the gold standard surgical
procedure for treating patients with ovarian endometriomas. However, laparoscopic
postoperative bleeding, recurrence, and pregnancy failure are still unavoidable
problems for many patients. Methods: A retrospective analysis was
performed of 212 patients with ovarian endometriomas treated by laparoscopic
surgery in our hospital from January 2016 to December 2020, with postoperative
follow-up for 2 years. The researchers completed the follow-up by telephone,
email, and outpatient review. Chi-square test was used to analyze the
relationship between their clinical characteristics and postoperative bleeding,
recurrence, and pregnancy along with logistic regression analysis of the risk
factors for postoperative bleeding and recovery. Also, the use of logistic
regression analysis may influence the factors influencing pregnancy outcome after
laparoscopy. Results: The postoperative pregnancy success rate in 212
patients with ovarian endometriomas was 63.7%. The incidence of bleeding after
surgery was 31.6% and the recurrence rate was 21.2%. The results of the
logistic-regression analysis demonstrated that, age (odds ratio (OR) = 1.208,
p = 0.001), combined with deep
infiltrating endometriosis (DIE) (OR = 5.18,
p = 0.023), cystic diameter