Endometriotic cystectomy is a surgical treatment used to remove endometriomas, which are cysts on the ovaries loaded with endometrial-like tissue. These cysts can cause excruciating pain and interfere with a woman’s fertility. Laparoscopic surgery has revolutionized the management of endometriotic cysts (endometriomas) with less invasiveness and faster recovery times than traditional open surgery. In order to ensure patient safety and the best surgical outcomes, effective hemostasis is required during laparoscopic endometriotic cystectomy.

Oxidized Regenerated Cellulose (ORC) emerges as a valuable ally in achieving this goal. Its ability to swiftly control bleeding, ease of application, and compatibility with minimally invasive surgery make it a valuable tool for surgeons navigating the complexities of endometriotic cyst removal. In Egypt, a clinical study revealed that ORC effectively minimizes the recurrence risk of endometriomas following laparoscopic drainage and preserves ovarian reserve, subsequently increasing the pregnancy rate. In this study, the most prevalent manifestation in the ORC group was pelvic discomfort in 43.3% of patients vs 23.3% in the ablation group, whereas secondary infertility was the most common manifestation in the ablation group in 33.3% of cases vs 13.3% in the ORC group.

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