Author:
Zaitoun Moustafa M,Zaitoun Mohamed Moustafa,El Behery Manal M
Abstract
Abstract
Objective
To compare the long term impact on ovarian reserve between laparoscopic ovarian cystectomy with bipolar electrocoagulation and laparotomic cystectomy with suturing for ovarian endometrotic cyst.
Patient and method(s)
121 patients with benign ovarian endometroitic cysts were randomised to either laparoscopic ovarian cystectomy using bipolar electrocoagulation (61 patients) or laparotomic ovarian cystectomy using sutures (60 patients). Serum follicle-stimulating hormone, Antimullerian hormon, Basal antral follicle Count, mean ovarian diameter, and ovarian stromal blood flow velocity were measured at 6, 12 and 18 months after surgery and compared in both groups.
Result(s)
A statistically significant increase of serum FSH was found in the laproscopic bipolar group at 6-, 12 and 18-month postoperativly compared to open laparotomy suture group. Also, a statistically significant decrease of the mean AMH value occurred in laproscopic bipolar group at 6-, 12 and 18-month follow- up compared to open laparotomy suture group. Basal antral follicle number, mean ovarian diameter and peak systolic velocity were significantly decreased during the 6-, 12,18 -month follow-up in laproscopic bipolar group compared to open laparotomy suture group.
Conclusion(s)
After laproscopic ovarian cystecomy for endometrioma all pareameter of ovarian reseve are significantly decreased on long term follow up as compared to open laprotomy.
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology,Oncology
Reference29 articles.
1. Farquhar C, Sutton C: The evidence for the management of endometriosis. Curr Opin Obstet Gynecol [Review] 1998,10(4):321–332. 10.1097/00001703-199808000-00007
2. Jones KD, Fan A, Sutton CJ: The ovarian endometrioma: why is it so poorly managed? Indicators from an anonymous survey. Hum Reprod [Research Support, Non-U.S. Gov’t Review] 2002,17(4):845–849.
3. Fuchs F, Raynal P, Salama S, Guillot E, Le Tohic A, Chis C, Panel P: Reproductive outcome after laparoscopic treatment of endometriosis in an infertile population. J Ginecology, Obstet Biol Reprod 2007, 36: 354–359. 10.1016/j.jgyn.2007.02.013
4. Benaglia L, Somigliana E, Vighi V, Ragni G, Vercellini P, Fedele L: Rate of severe ovarian damage following surgery for endometriomas. Hum Reprod 2010, 25: 678–682. 10.1093/humrep/dep464
5. Busacca M, Riparini J, Somigliana E, Oggioni G, Izzo S, Vignali M, Candiani M: Postsurgical ovarian failure after laparoscopic excision of bilateral endometriomas. Am J Obstet Gynecol 2006, 195: 421–425. 10.1016/j.ajog.2006.03.064
Cited by
34 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献