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Table 1 The management of decidualised endometriomas in the literature

From: Natural history of ovarian endometrioma in pregnancy

Author

No of cases

Management

Surgical approach

Intervention

Gestation at intervention

Pregnancy outcome

Sammour

2

Surgical

Laparoscopy converted to laparotomy

Oophorectomy

16/40

NVD at term

 

Surgical

Laparoscopy

Salpingo-oophorectomy

NS

NVD at term

Tazegul

1

Surgical

NS

Cystectomy

12/40

NS

Poder

1

Expectant

  

38/40

Caesarean section and salpingo-oophorectomy

Guerriero

1

Expectant

  

37/40

Caesarean section, frozen section, cystectomy

Fruscella

1

Surgical

Laparotomy

Cystectomy

18/40

Caesarean section at term

Miyakoshi

1

Surgical

Laparotomy

Salpingo-oophorectomy

22/40

NS

Tanaka

1

Surgical

NS

Cystectomy

12/40

NS

Barbieri

3

Surgical

Laparoscopy

Frozen section, cystectomy

14/40

NVD at term

 

Expectant (declined surgery 24/40)

  

36/40

Concomitant Caesarean section and frozen section, cystectomy

 

Expectant (declined surgery at 10/40)

 

Expectant

10/40

Miscarriage

Iwamoto

1

Surgical

Laparotomy

Salpingo-oophorectomy

22/40

NS delivery at term

Yoshida

2

Surgical

Laparotomy

Oophorectomy

28/40

NS delivery at term

 

Surgical

Laparotomy

Cystectomy

16/40

NS

Sayasneh

1

Expectant

 

Expectant

 

NVD at term

Machida

3

Surgical

Laparotomy

Salpingo-oophorectomy

19/40

PROM - TOP 21/40

 

Surgical

Laparotomy

Salpingo-oophorectomy

14/40

NVD at term

 

Surgical

Laparotomy

Frozen section, cystectomy

14/40

NVD at term

Asch

1

Surgical

NS

NS

NS

NS

Ueda

3

Surgical

NS

Salpingo-oophorectomy

NS

NS

  

Surgical

NS

Salpingo-oophorectomy

NS

NS

  

Expectant

   

NS

Mascilini

13§

Surgical

NS

NS

NS

NS

 

5

Expectant

   

Concomitant Caesarean section and NS cystectomy or oophorectomy

  1. NS not specified, NVD normal vaginal delivery, PPROM premature rupture of membranes, TOP termination of pregnancy.
  2. §The case by Fruscella et al. is also included in this total.