Ovarian endometrioma: postoperative adhesions following bipolar coagulation and suture

M Pellicano, Pellicano M, Bramante S, S Bramante, Silvia Bramante, Maurizio Guida, M. Guida, G Bifulco, Giuseppe Bifulco, Attilio Di Spiezio Sardo, Di Spiezio Sardo A, A Di Spiezio Sardo, Cirillo D, D. Cirillo, C Nappi, Nappi C, Carmine Nappi
Fertility and sterility · 2008 · vol. 89(4) , pp. 796–799 · doi:10.1016/j.fertnstert.2006.11.201 · PMID:17953954 · W2016682309
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This paper investigated postoperative adhesions in ovarian endometrioma patients after treatment with bipolar coagulation versus suture.

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Abstract

ObjectiveTo compare bipolar coagulation and suturing of the ovary in terms of postoperative ovarian adhesions after laparoscopic ovarian cystectomy for endometriosis.DesignProspective, randomized, controlled study.SettingDepartment of Obstetrics and Gynecology, University of Naples "Federico II."Patient(s)Thirty-two women with a single endometriotic cyst were randomly divided into two groups of 16 women each (groups A and B).Intervention(s)All patients underwent laparoscopic ovarian cystectomy for endometriosis. In group A, hemostasis was performed by closure of the ovary with an intraovarian suture. In group B, complete hemostasis was achieved only with bipolar coagulation on the internal face of the ovary.Main outcome measure(s)Rate and extension of postsurgical ovarian adhesions at 60-90 days follow-up.Result(s)At follow-up, a significantly lower rate of postsurgical ovarian adhesions was observed in group A than in group B (30.8% vs. 57.1%). The extension of ovarian adhesions was significantly higher in group B than in group A.Conclusion(s)The use of sutures on ovaries treated for endometrioma is associated with a lower rate of postoperative ovarian adhesion formation compared with bipolar coagulation.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Gynecologic Surgical Procedures Gynecologic Surgical Procedures Hemostasis, Surgical Laparoscopy Laparoscopy Light Coagulation Ovarian Cysts Suture Techniques Adult Endometriosis Endometriosis Female Hemostasis, Surgical Humans Ovarian Cysts Ovarian Cysts Prospective Studies Time Factors Tissue Adhesions

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Cited by (32)

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