OVARIAN CYSTECTOMY IN ENDOMETRIOMAS BY LAPAROSCOPY AS FREQUENTLY REPEATED ADNEXAL MASS IN REPRODUCTIVE SYSTEM IS ENDOMETRIOMA

We aimed to evaluate the impact of topical hemostatic sealants and bipolar coagulation during laparoscopic ovarian endometriotic cyst resection on ovarian reserve by comparing the rates of decrease in anti‐ Müllerian hormone. Laparoscopy has become the most common procedure in recent set-ups. It is now a major diagnostic as well as therapeutic modality for infertility, endometriosis, extrauterine pregnancy and benign ovarian tumors. The aim of the study was to share the experience of gynecological laparoscopic surgeries. Frequently repeated adnexal mass in reproductive system is endometrioma. Therapies are partially silent in the treatment of larger than 4 cm endometriomas and its removal is recommended for the pain reduction and rapid improvisation in the management of ovarian endometriomas. Generally agreed decision is conception rate. This process can be potentially difficult because of the dense adherence of the capsule. Surgical laparoscopy is among one of the choices in treatment as a conservative treatment approach combined modified cystectomy is preferred technique. It can be damaging for ovary and with additional risk factor it may also pose incomplete ablation. Keywords: Cystectomy, Combined technique, Laparoscopy and Endometrioma.