Laparoscopic ovarian cystectomy of endometriomas: surgeons’ experience may affect ovarian reserve and live-born rate in infertile patients with in vitro fertilization-intracytoplasmic sperm injection

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This study investigated whether surgeons' experience during laparoscopic ovarian cystectomy for endometriomas impacts ovarian reserve and live-born rates in infertile patients undergoing IVF-ICSI.

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Abstract

ObjectiveTo assess whether the laparoscopist's experience can affect ovarian reserve and pregnancy outcome in vitro fertilization-intracytoplasmic sperm injection (IVF-ICSI) patients who previously underwent laparoscopic conservative treatment for ovarian endometriomas.Study designOne hundred and forty-nine IVF-ICSI cycles with infertile patients who previously underwent laparoscopic conservative treatment for ovarian endometriomas were enrolled. There were 76 cycles with an inexperienced surgeon and 73 cycles with an experienced surgeon.ResultsThe number of antral follicle count (7.5±3.8 vs. 9.6±6.6; p=0.011), and live-born rate per cycle (9.3% vs. 32.9%; p<0.001) were significantly lower in the inexperienced group comparing with the experienced group. However, the mean number of oocytes, fertilization rate, mean number of embryos transferred, rate of good-quality embryos transferred, implantation rate and clinical pregnancy were similar between both groups.ConclusionsThe experience of the laparoscopist may affect ovarian reserve and live-born rate after treating ovarian endometrioma in infertile women with IVF-ICSI.

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Condition tags

endometriosis

MeSH descriptors

Clinical Competence Endometriosis Infertility, Female Laparoscopy Ovary Pregnancy Outcome Adult Endometriosis Female Fertilization in Vitro Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans Infertility, Female Laparoscopy Ovarian Diseases Ovarian Diseases Ovarian Follicle Ovarian Follicle Ovary

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