Comparing long term impact on ovarian reserve between laparoscopic ovarian cystectomy and open laprotomy for ovarian endometriomaReportar como inadecuado




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Journal of Ovarian Research

, 6:76

First Online: 02 November 2013Received: 22 August 2013Accepted: 09 October 2013

Abstract

ObjectiveTo 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 methods121 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.

ResultsA 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.

ConclusionsAfter laproscopic ovarian cystecomy for endometrioma all pareameter of ovarian reseve are significantly decreased on long term follow up as compared to open laprotomy.

KeywordsOvarian cysts Laparoscopic ovarian cystectomy Electrocoagulation Ovarian reserve  Download fulltext PDF



Autor: Moustafa M Zaitoun - Mohamed Moustafa Zaitoun - Manal M El Behery

Fuente: https://link.springer.com/







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