Evidence map›Paper›PMID 36902645›Full record

ReviewJournal of clinical medicine2023

Expectant, Medical, and Surgical Management of Ovarian Endometriomas.

Ludovico Muzii, Giulia Galati, Giulia Mattei, Alessandra Chinè, Giorgia Perniola, Violante Di Donato, Chiara Di Tucci, Innocenza Palaia

Full text readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Surgical management of endometriosis: surgical techniques, adjuvant therapy, and long-term management Number 10 - 2026.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026
    Review
  7. Article
  8. Article
  9. Diagnosis and management of endometriosis-associated infertility Number 4 - 2026.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026
    Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Immune Dysregulation in Endometriomas: Implications for Inflammation.International journal of molecular sciences · 2024
    Review
  15. Article
  16. Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ludovico MuziiDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0001-7195-9583
Giulia GalatiDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0002-5289-4013
Giulia MatteiDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, 00161 Rome, Italy.
Alessandra ChinèDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, 00161 Rome, Italy.
Giorgia PerniolaDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, 00161 Rome, Italy.
Violante Di DonatoDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0002-9254-5790
Chiara Di TucciDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0002-1292-9672
Innocenza PalaiaDepartment of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, 00161 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Management options for ovarian endometriomas include expectant management, medical treatment, surgical treatment, in vitro fertilization (IVF), or a combination of the above. The choice of management depends on many clinical parameters that should be taken into consideration, the first of which is the main presenting symptom. Most patients are today referred to medical therapy as a first option in the case of associated pain, and to IVF in the case of associated infertility. When both symptoms are present, usually surgery is the preferred approach. Recently, however, surgical excision of an ovarian endometrioma has been associated with a postoperative reduction in the ovarian reserve, and recent guidelines suggest that the clinician should caution the patient as to the possible damage to the ovarian reserve in the case of surgery. However, evidence has been published as to a possible detrimental effect of the ovarian endometrioma on the ovarian reserve even if expectant management is followed. In this review, the current evidence on the conservative management of ovarian endometriomas, with particular focus on the issue of the ovarian reserve, is evaluated, and the different surgical techniques for the treatment of ovarian endometriomas are discussed.

Indexed as

endometrioma surgeryendometriosislaparoscopyovarian cystsovarian reserve

Identifiers

PMID36902645
PMCPMC10003094

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read39
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.