Effects of Two Different Hemostatic Methods of Electric Coagulation or Suture Hemostasisa on Ovarian Reservation Function After Laparoscopic Ovarian Surgery / 中国微创外科杂志

ABSTRACT

Objective To evaluate the effects of electric coagulation or suture hemostasis on ovarian reservation function in laparoscopic ovarian cyst removal for ovarian endometriomas. Methods A total of 118 patients receiving laparoscopic ovarian cystectomy in our hospital from January 2011 to June 2015 were enrolled in this study.According to the habit of different operators,the patient were devided into either electric coagulation group(n =53)or suture group(n =65).The follicle-stimulating hormone (FSH),luteinizing hormone(LH),estradiol(E2)and antral follicle count(AFC)of the two groups were observed and compared before surgery and one and six months after surgery. Results There were no differences in the levels of the FSH,LH,E2and AFC between the two groups before the surgery(P>0.05).The level of FSH was increased and those of E 2and AFC were declined in both groups at 1 month after the operation compared with those before operation(P <0.05).Moreover, there were more significant differences in FSH,E2,and AFC in the electric coagulation group(P <0.05).There was no significant difference in LH(P>0.05).The levels of FSH and E 2recovered in both groups at 6 months after operation.There was no difference in FSH and E 2 compared with the level before operation in the suture group(P>0.05), however, there was significant difference in the electric coagulation group(P<0.05). Conclusions The laparoscopic ovarian cystectomy for ovarian endometriomas leads to decreased ovarian reserve.As compared to bipolar coagulation, suture hemostasis can effectively reduce the damage of ovarian function, which should be applied as possible as we can.