The effect of hemostasis by electrocoagulation versus suture on endometrioma recurrence and pregnancy rates after laparoscopic cystectomy in endometriomas

Şükrü Yıldız, Cihan Kaya, İsmail Alay, Murat Ekin, Levent Yaşar
In: Cukurova Medical Journal · 2020 · vol. 45(2) , pp. 482–487 · doi:10.17826/cumj.635204 · W3013875264
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study retrospectively analyzed 46 infertile patients and found no statistically significant difference in endometrioma recurrence or spontaneous pregnancy rates between laparoscopic cystectomy using electrocoagulation versus suture for hemostasis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This retrospective study compared ovarian hemostasis methods—bipolar electrocoagulation versus suturing—during laparoscopic stripping cystectomy for unilateral or bilateral endometriomas in 46 primary infertile patients (18–42 years) who wished to conceive without assisted reproductive treatments. Recurrence was assessed with postoperative ultrasound, and spontaneous pregnancy was confirmed by serum beta-hCG after menstrual delay. Although the electrocoagulation group had a higher endometrioma recurrence rate, the difference was not statistically significant, and spontaneous pregnancy rates were similar between groups, including when analyzed by uni- versus bilaterality. The authors describe these findings as preliminary and note no significant impact on recurrence or spontaneous pregnancy rates; this paper is centrally about endometriosis—comparing hemostasis by electrocoagulation versus suturing on endometrioma recurrence and spontaneous pregnancy after laparoscopic cystectomy.

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Abstract

Purpose: The aim of this study was to assess the effect of hemostasis by electrocoagulation versus suture on endometrioma recurrence and pregnancy rates after laparoscopic cystectomy in uni/bilateral endometriomas. Materials and Methods: Forty-six primary infertile patients wishing to conceive without any assisted reproductive treatments, between 18 and 42 years, with uni/bilateral endometriomas were retrospectively analyzed. Laparoscopic cystectomies were performed by the stripping method. Ovarian hemostasis was obtained either by suturing (n = 23) or by bipolar electrocoagulation (n = 22). Cyst recurrence was evaluated by postoperative ultrasound scan. Pregnancy was confirmed by serum Beta-human choronic gonadotropin (B-hCG) levels if the patient presented with menstrual delay. Results: The mean of age of the patients was 31.62±6.55 years old. There was no significant difference between study groups regarding age, body mass index (BMI), preoperative endometrioma size, or pre/post-operative hemoglobin/hematocrite (Hb/Htc) levels. The recurrence rate was higher in the electrocoagulation group than the suturing group; however, the difference was not statistically significant. The spontaneous pregnancy rates were also similar between study groups. There was no significant difference between study groups considering unilaterality or bilaterality of endometriomas. Conclusion: Our preliminary data show that an operation on ovarian endometriomas-either electrocoagulation or suturing-may not affect endometrioma recurrence or spontaneous pregnancy rate.

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endometrioma

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