The Vasopressin Injection Technique for Laparoscopic Excision of Ovarian Endometrioma: A Technique to Reduce the Use of Coagulation

Ai Saeki, Saeki A, Takashi Matsumoto, Matsumoto T, Kenichiro Ikuma, Ikuma K, Yasuhito Tanase, Tanase Y, Inaba F, Fujiyuki Inaba, Oku H, Hisato Oku, Atsushi Kuno, Kuno A
Journal of Minimally Invasive Gynecology · 2010 · vol. 17(2) , pp. 176–179 · doi:10.1016/j.jmig.2009.11.004 · PMID:20226404 · W2066218942
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This paper describes a vasopressin injection technique for laparoscopic ovarian endometrioma excision, aimed at minimizing the need for coagulation energy.

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Abstract

Study objectiveTo estimate the efficacy of the vasopressin injection technique for laparoscopic cystectomy of ovarian endometriomas with regard to operative time and coagulation events.DesignProspective study (Canadian Task Force Classification II-1)SettingOsaka Central Hospital in Osaka, JapanPatientsFifteen women with single lobular similarly-sized ovarian endometrioma.InterventionsWomen who planned to undergo laparoscopic cystectomy of endometrioma were allocated randomly to 3 groups: (1) ordinary laparoscopic cystectomy without injection, (2) laparoscopic cystectomy with the injection of saline solution, and (3) laparoscopic cystectomy with the vasopressin injection technique.Measurements and main resultsReviewing the video, we counted the number of pinpoint bipolar coagulations on the normal ovarian cortex that were required from the beginning of stripping until hemostasis had been achieved, as well as the times required to achieve hemostasis. The group with the vasopressin injection technique required significantly fewer coagulation events (p=.041) to achieve hemostasis, as compared with the group receiving an ordinary cystectomy.ConclusionThe vasopressin injection technique reduces the use of coagulation, in such a way as to suggest the possibility to protect ovarian reserves.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Hemostasis, Surgical Hemostatics Laparoscopy Ovarian Diseases Vasopressins Adult Dissection Endometriosis Endometriosis Female Hemostasis, Surgical Hemostatics Humans Injections, Intralesional Ovarian Diseases Prospective Studies Treatment Outcome Vasopressins

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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