Laparoscopic Ovarian Cystectomy Hemostatic Maneuvers Impact and Influence on Ovarian Reserve Parameters and Indices

Khaled Fathy Helal¹* and Samia Hussein²

Received:May 20, 2019;   Published: May 28, 2019

DOI: 10.32474/IGWHC.2018.03.000160

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Abstract

Background: Electrocoagulation during performing laparoscopic ovarian cystectomy as a method used for hemostasis is one of the most commonly and preferred methods due to simplicity and speedy applicability. Fertility outcomes after ovarian cystectomy is a global concern that should be respected and investigated by further research efforts trying to elucidate the best method and protocol in surgical practice.

Aim:To investigate the impact and influence of hemostatic methods implemented in laparoscopic ovarian cystectomy on ovarian reservoir function.

Methodology:A prospective research clinical trial conducted on 72 research study subjects from January 2017 till April 2018. Research study subjects were recruited for the study having unilateral or bilateral ovarian cysts they were equally categorized into research groups according to the hemostatic method implemented during the surgical procedure.

Results: There was no statistical significant difference as regards the ovarian reserve parameters observed before surgery between both electrocoagulation and suture research groups as regards FSH, LH, E2, AMH, AFC, PSV (P value =0.229, 0.063, 0.475, 0.068, 0.609, 0.187 consecutively) after 1 month follow up there was statistically significant difference between suture and electro surgical research groups as regards the FSH, E2, AMH (P values =0.002,<0.001,0.028 consecutively) being more favorable within suture research group ,finally at 6 months follow up there was statistically significant difference between suture and electro coagulation research groups as regards FSH, E2, AMH, AFC, PSV (P values =<0.001, 0.013, 0.023, 0.027, 0.012 consecutively).

ConclusionFurther research efforts are required to evaluate if the difference is clinically significant concerning fertility potential and premature ovarian failure by implementing larger study samples putting in consideration the age and racial differences among the observed cases.

Keywords:Laparoscopic; Ovarian cystectomy; Anti mullerian hormone

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