Comparing long term impact on ovarian reserve between laparoscopic ovarian cystectomy and open laprotomy for ovarian endometrioma

Journal of Ovarian Research

Manal M El Behery¹  Mohamed Moustafa Zaitoun¹  Moustafa M Zaitoun¹ 

[1] Obstetrics & Gynecology Departments, Faculty of Medicine, Zagazig University, Zagazig, Egypt

关键词: Ovarian reserve;    Electrocoagulation;    Laparoscopic ovarian cystectomy;    Ovarian cysts;   

Others  :  805102
DOI  :  10.1186/1757-2215-6-76

 received in 2013-08-22, accepted in 2013-10-09,  发布年份 2013

【 摘 要 】

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.

【 授权许可】

   
2013 Zaitoun et al.; licensee BioMed Central Ltd.

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