ABSTRACT
Prospective study (28) and two randomized trials of removal of the cyst wall versus fenestration and aspiration of cyst contents clearly demonstrate improved results with removal, whether the outcome of interest is pain relief, fertility, or rate of reoperation (29,30). These data, recently supported by a Cochrane review (31), suggest that an excisional approach should be favored in the surgical management of endometriomata. When bleeding is encountered at the site of the excised cyst, data suggest that it is preferable to obtain hemostasis with sutures than with electrosurgery (32).
