Episode 30: Recurrence after surgery for endometrioma
This systematic review and meta-analysis evaluates the likelihood of endometrioma recurrence in women who undergo surgery without subsequent hormonal suppression. By analyzing 55 studies, researchers determined that the risk of a new ovarian cyst forming increases steadily over time, reaching a weighted mean of 27% after two years. The findings highlight a significant disparity compared to patients using postoperative hormonal therapy, where recurrence rates are notably lower. This data is intended to assist clinicians in shared decision-making and patient counseling, particularly for those who cannot or choose not to use hormones. Ultimately, the study emphasizes the chronic nature of endometriosis and the importance of realistic expectations regarding surgical outcomes when managed without medication.
13 Sept 2026
Episode 29 : Diaphragmatic Endometriosis ,Review of single center experience with 60 cases
This retrospective study evaluates the feasibility and safety of robotic-assisted surgery for treating severe diaphragmatic endometriosis, a rare condition that often causes shoulder and chest pain. Researchers analyzed 60 patients, finding that the robotic approach effectively manages complex lesions, including those requiring full-thickness resection of the diaphragm. The results demonstrate a high success rate, with 89% of participants reporting a total resolution of symptoms after one year. While the procedure proved safe, diaphragmatic hernia was identified as the most frequent long-term complication, occurring in a small percentage of cases. Ultimately, the authors conclude that robotic technology offers high-precision benefits for accessing difficult surgical areas, provided it is performed by highly experienced specialists.
6 Sept 2026
Episode 28 : Surgery VS ART For patients with DIE ,A Multicenter randomized controlled trial
Despite difficulty in recruitment for randmoized trials in patients with infertility and endometriosis ,this unique small RCT ,Shed some light of this important question .
EFFORT study: Surgery vs assisted reproductive technology among women with deep endometriosis – A multicenter randomized controlled trial
Maja Raos , Mikkel Seyer-Hansen , Ulrik Schiøler Kesmodel , Ulla Breth Knudsen , Horace Roman
European Journal of Obstetrics & Gynecology and Reproductive Biology (https://www.sciencedirect.com/journal/european-journal-of-obstetrics-and-gynecology-and-reproductive-biology)Volume 326 (https://www.sciencedirect.com/journal/european-journal-of-obstetrics-and-gynecology-and-reproductive-biology/vol/326/suppl/C), October 2026, 115350
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