Hemostasis by Bipolar Coagulation Versus Suture After Surgical Stripping of Bilateral Ovarian Endometriomas: A Randomized Controlled Trial

Simone Ferrero, Venturini PL, Pier Luigi Venturini, David J. Gillott, David John Gillott, Gillott DJ, Valentino Remorgida, Umberto Leone Roberti Maggiore
Journal of minimally invasive gynecology · 2012 · vol. 19(6) , pp. 722–730 · doi:10.1016/j.jmig.2012.08.001 · PMID:23084676 · W2009181057
article OA: closed CC0 ⤵ 69 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This randomized controlled trial compared hemostasis achieved by bipolar coagulation versus suture after surgical stripping of bilateral ovarian endometriomas.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Study objectiveTo estimate whether the suture of the ovary is superior to bipolar coagulation in preserving ovarian reserve in infertile women undergoing laparoscopic stripping of bilateral endometriomas.DesignRandomized controlled trial (Canadian Task Force classification I).SettingUniversity teaching hospital.Patients100 patients with bilateral endometriomas.InterventionsPatients underwent stripping of bilateral endometriomas and were randomized to undergo hemostasis by use of either laparoscopic suturing (LS group) or bipolar coagulation (BC group). Changes in ovarian reserve were investigated by measuring the levels of anti-Mullerian hormone (AMH) and basal follicle-stimulating hormone (FSH) before surgery and at 3, 6 and 12 months from surgery.Measurements and main resultsAt 3-month, 6-month, and 12-month follow-up, in both study groups, postsurgical AMH levels were significantly lower and basal FSH levels were significantly higher than before surgery. There was no significant difference in the mean percentage decrease of AMH levels in the BC group and LS group at 3-, 6-, and 12-month follow-up. The mean percentage increase in basal FSH was higher in the BC group than in the LS group at both 3-month (p = .023) and 6-month follow-up (p = .029), but not at 12-month follow-up. Pregnancy rate, time to conception, and rate of endometrioma recurrence was similar in the 2 study groups.ConclusionLaparoscopic stripping of ovarian endometriotic cyst significantly decreases serum AMH levels and increases basal FSH levels independent from the method used to obtain hemostasis on the ovarian tissue.

My notes (saved in your browser only)

Condition tags

endometriosis

MeSH descriptors

Electrocoagulation Endometriosis Hemostasis, Surgical Ovarian Diseases Ovary Sutures Adult Anti-Mullerian Hormone Anti-Mullerian Hormone Endometriosis Endometriosis Female Follicle Stimulating Hormone Follicle Stimulating Hormone Hemostasis, Surgical Humans Laparoscopy Ovarian Diseases Ovarian Diseases Ovary

Citation neighborhood

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.

References (39)

Cited by (50)

Source provenance

europepmc
last seen: 2026-07-27T06:15:28.040536+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:15:58.344756+00:00
License: CC0 · commercial use OK