IMPACT OF LAPAROSCOPIC OVARIAN CYSTECTOMY VERSUS LAPAROSCOPIC COAGULATION ON OVARIAN RESERVE IN CASES OF OVARIAN ENDOMETRIOMA

Yousry Shalal, Youssef Abo Elwan El-Sayed, Mohamed Mahdy, Mohamed Zaitoun
In: Zagazig University Medical Journal · 2017 · vol. 23(3) , pp. 1–10 · doi:10.21608/zumj.2017.4694 · W2781389507
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This study found that laparoscopic cystectomy and coagulation for ovarian endometrioma both reduced ovarian reserve, with a more pronounced decrease in ovarian reserve observed after cystectomy compared to coagulation.

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Abstract

Objectives: To compare between laparoscopic ovarian cystectomy and laparoscopic ovarian coagulation on ovarian reserve in cases of ovarian endometrioma. Cases, methods: Prospective randomized cohort study had been conductedform January 2014 to January 2016 at Laparoscopic, Cytogenetic Unit of Obstetrics, Gynecology at Faculty of Medicine, Zagazig University Hospitals. Fifty cases had included in the study. They had put in two groups; one for laparoscopic cystectomy for ovarian endometrioma (group I), the other for laparoscopic coagulation for ovarian endometrioma (group II). Antimullerian Hormone (AMH) had been measured preoperatively, on day 3 of the first, third, six menstrual cycle after surgery. Transvaginal U/S had been performed for assessment of Antenatal Follicle Count (AFC), ovarian volume, stromal blood flow of the ovary preoperatively, on first ,third, six menstrual cycle after surgery.Results: Results showed a highly significant reduction of AMH, AFC, ovarian volume, stromal blood flow for both groups.Conclusion: Laparoscopic surgery for endometrioma was associated with impaired ovarian reserve. The decrease in ovarian reserve was more pronounced in the cystectomy group when compared to the coagulation group.

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Condition tags

endometrioma

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