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Issue Date: 9-Mar-2012
Authors: Parlato, Vincenzo
Title: Trattamento percutaneo delle cisti endometriosiche
Abstract: Purpose The authors sought to evaluate the effectiveness of a modified technique of ultrasound (US)-guided aspiration and ethanol sclerotherapy in treating endometrial cysts and adopt this procedure as an alternative to surgery. Materials and methods One hundred forty consecutive patients with an average age of 26.3 years [standard deviation (SD) 6.1; range 16¨C45 years) and US diagnosis of endometrial cyst were randomly assgned to sclerotherapy with classical approach (ethanol 95¡ã) or modified one (a solution of ethanol, antibiotic and 5% polivinilpirrolidone iodio). A total of 183 endometriosic cysts underwent to US-guided aspiration and sclerotherapy (70 with transabdominal approach and the remaining 113 with transvaginal approach) and ethanol sclerotherapy. Results The procedure was successful in all patients. Follow-up imaging was carried out at 12 h, 24 h, 3 days, 15 days, 3 months, 6 months, 12 months, and 24 months. After 3 days, two intra-cystic abscess were detected in the group treated with classical approach. After 12 months, six patients showed recurrence, five of whom opted for a second session of US-guided aspiration and ethanol sclerotherapy, at this time with a modified approach. None patient treated with modified approach developed infective complications or recurrences. Moreover, 32 patients become pregnant following treatment (14 belonged to the first group and 18 to the second one), and they all successfully brought the pregnancy to term. Conclusions US-guided aspiration and sclerotherapy with the modified technique provides a safe alternative to surgery in treating endometrial cysts, with a lower rate of complications and recurrence, and a asignificant preservation of follicologenesis.
Appears in Collections:Area 06 - Scienze mediche

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