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ÖzetAmaç: Laparaskopik endometriosis cerrahisinin ovaryan rezerv ve ovaryan kan akım parametreleri üzerine olan etkilerini araştırmak. Gereç ve Yöntem: Üçüncü basamak eğitim ve araştırma hastanesinde endometrioma nedeniyle laparaskopik cerrahi uygulanan 26 hasta prospektif olarak değerlendirildi. Olgulara cerrahi işlem öncesi ve sonrası adet periyodunun 3üncü günü FSH, LH ve E2 bakıldı. Operasyon öncesi ve sonrası olguların ultrasonografik olarak kist volümü, over volümü ve ovaryan arter rezistif indeks'i Doppler ultrasonografi ile değerlendirildi. Bulgular: Çalışma gurubundaki 26 hastanın yaş ortalaması 25,6 ± 4,5 (20-36 yaş) idi. Operasyon öncesi ve sonrası üçüncü gün bakılan hormonal değerler karşılaştırıldığında sırasıyla FSH (p: 0,455), LH (p: 0,672), değerlerinde bir değişiklik izlenmezken, E2 (p: 0,024) değerleri-nin anlamlı olarak azaldığı görüldü. Cerrahi sonrası ovaryan volüm anlamlı bir şekilde azalırken (p: 0,001), bu azalışın Ovaryan Arter RI değerlerini (p: 0,587) etkilemediği görüldü. Sonuç: Çalışmamızda ovaryan endometriomaların laparoskopik kistektomisi sonrasında over hacimlerinin anlamlı olarak azaldığını ama bunun, hormon sonuçlarına ve ovaryan arter kan akımlarına bakıldığında over rezervini etkilemediği görüldü. Anahtar KelimelerEndometriosis; Ovaryan Rezerv; Doppler Ultrasonografi Abstract Aim: To investigate the effectiveness of laparoscopic endometriosis surgery on ovarian reserve and ovarian blood flow index. Material and Method: Twenty-six patients were evaluated prospectively whom had laparoscopic surgery due to endometrioma in third care education and research hospital. Before and after surgical procedure all patients FSH, LH and E2 levels were measured in their 3rd menstrual period day. Periodically cysts and ovarian volume as well as ovarian artery resistive index measured by using transvaginal Doppler sonography. Results: Twenty-six patients' mean age was 25, 6 ± 4, 5 (20-36 years). When the compared to changes of preoperative and postoperative values of hormonal parameters FSH (p: 0,455) and LH (p: 0,672) were insignificant and E2 (p: 0,024) was significant respectively. While ovarian volume was decreasing significantly (p: 0,001), Ovarian Artery RI parameter was not changed (p: 0,587). Discussion: Our study was showed that while laparoscopic surgical treatment of ovarian endometriomas significantly decrease ovarian volume, but hormonal parameters and ovarian blood flow were not affected.

15069 Background: The purpose of the study was to evaluate the patients with borderline ovarian tumors. Methods: Clinical features, treatment and survival status of 100 patients with borderline ovarian tumors were retrospectively evaluated between 1998 and 2005. Results: Mean age was 37.75 (Range: 15–72) years. 22 cases were in postmenapausal status. Histopathological diagnosis was serous, musinous, endometrioid and clear cell in 54%, 41%, 2%, 3% of the patients, respectively. 19 cases underwent restaging laparotomy. In 52 cases fertility sparing surgery was performed. 70 patients had stage IA, 8 patients had stage IB, 16 cases had stage IC, 2 cases had stage IIIA, 3 cases cases had stage IIIB and a case had stage IIIC disease. 22 cases were administered chemotherapy because of advanced stage disease. All cases were alive. 5 year disease free survival of 51 cases was 100%. Conclusions: Borderline ovarian tumors have excellent prognosis and conservative surgery can be performed in young patients with early stage disease. No significant financial relationships to disclose.

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