Comparison of the effects of laparoscopic bipolar electrocoagulation and intracorporeal suture application to ovarian reserve in benign ovarian cysts

Özgönen, Hakan; Erdemoğlu, Evrim; Günyeli, İlker; Güney, Mehmet; Mungan, Tamer

doi:10.1007/s00404-012-2638-2

Cited by 18 publications

(18 citation statements)

References 16 publications

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“…The heterogeneity of benign cysts among certain studies could also subject their results to potential bias. 18,19,21 Selection bias could also apply in the case of retrospective studies. 17,23 Finally, only 2 studies reported that they were statistically adequately powered.…”

Section: Weaknesses Of the Studymentioning

confidence: 98%

“…15,16 Included studies Eight studies were finally included in our systematic review, which recruited 545 women. [17][18][19][20][21][22][23][24] Among them, 266 women (48.8%) were treated with bipolar electrocoagulation after the excision of the ovarian cyst, whereas the remaining 279 (51.2%) were treated with hemostatic suturing. In Table 1, we present the methodological characteristics of these studies.…”

Section: Excluded Studiesmentioning

confidence: 99%

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The effect of bipolar electrocoagulation during ovarian cystectomy on ovarian reserve: a systematic review

Pergialiotis

Prodromidou

Frountzas

et al. 2015

American Journal of Obstetrics and Gynecology

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The aim of the present systematic review was to study the effect of bipolar electrocoagulation during ovarian cystectomy on ovarian reserve. We searched Medline (1966-2015), Scopus (2004-2015), ClinicalTrials.gov (2008-2015), and Cochrane Central Register (CENTRAL) databases along with reference lists of electronically retrieved studies. The levels of antimullerian hormone (AMH) and antral follicle count (AFC) at 1, 3, 6, and 12 months following the excision of the benign ovarian cyst were defined as primary outcomes. Eight studies were finally included in our systematic review, which recruited 545 women. A metaanalysis was precluded because of significant heterogeneity in the methodological characteristics of the included studies. Data from the included studies suggest that the use of bipolar coagulation compared with ovarian sutures seems to result in significantly lower AMH and AFC during the first 3 months following the excision of the ovarian cyst. Two studies reported that this effect seems to persist at 6 and 12 months postoperatively. Bipolar electrodiathermy seems to be accompanied by increased damage to ovarian reserve, which is indicated by the lower levels of AMH and AFC. However, definitive results are precluded because of the significant heterogeneity of included studies and the potential bias.

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Section: Weaknesses Of the Studymentioning

confidence: 98%

Section: Excluded Studiesmentioning

confidence: 99%

The effect of bipolar electrocoagulation during ovarian cystectomy on ovarian reserve: a systematic review

Pergialiotis

Prodromidou

Frountzas

et al. 2015

American Journal of Obstetrics and Gynecology

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show abstract

“…Of the 18 citations evaluated in full-text, 2 were case reports (17,20), 2 did not report effect of haemostatic method on ovarian reserve (21, 22), 3 did not report preoperative AMH values and therefore did not allow calculation of change after surgery (23)(24)(25), and 2 overlapped with more recent publications that were included in this analysis (26,27), 1 reported on non-endometriotic cysts (28), 1 did not report AMH levels at all (16), and 1 compared laparoscopic cystectomy and BD with laparotomy and suturing (29), and thus were excluded. A total of 6 studies were included in the systematic review; four of these six studies (3 randomized controlled trials (RCT), 1 prospective cohort study) were deemed eligible for inclusion in the meta-analysis.…”

Section: Literature Search and Study Selectionmentioning

confidence: 98%

Effect of Hemostatic Method on Ovarian Reserve Following Laparoscopic Endometrioma Excision; Comparison of Suture, Hemostatic Sealant, and Bipolar Dessication. A Systematic Review and Meta-Analysis

Ata

Türkgeldi

Seyhan

et al. 2015

Journal of Minimally Invasive Gynecology

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“…Residual ovarian tissue bleeding can be addressed by suturing or bipolar electrocautery without long-term decrease in ovarian function. 13 …”

Section: Simple Cystsmentioning

confidence: 97%

Adnexal Masses in Children and Adolescents

Kelleher

Goldstein

2015

Clinical Obstetrics &Amp; Gynecology

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Adnexal masses in children encompass a variety of lesions of the ovaries and fallopian tubes, including ovarian cysts and tumors (benign or malignant), fallopian tube cysts and abscesses, paratubal cysts, and endometriomas. When developing a differential diagnosis for adnexal masses in childhood, the clinician must have a broad understanding of adnexal pathology and consider the patient's age, presenting complaints, physical examination findings, and imaging results to generate a list of possible diagnoses and the appropriate treatment plan. We review the clinical presentation of these lesions and discuss the current recommendations for their management.

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Comparison of the effects of laparoscopic bipolar electrocoagulation and intracorporeal suture application to ovarian reserve in benign ovarian cysts

Abstract: The unwanted effect of bipolar electrocoagulation on ovarian reserve is probably transient and causes minimal damage to ovary. FSH levels may be slightly elevated. Gentle use of bipolar electrocoagulation or intracorporeal are not found to effect ovarian reserve.

Cited by 18 publications

References 16 publications

The effect of bipolar electrocoagulation during ovarian cystectomy on ovarian reserve: a systematic review

The effect of bipolar electrocoagulation during ovarian cystectomy on ovarian reserve: a systematic review

Effect of Hemostatic Method on Ovarian Reserve Following Laparoscopic Endometrioma Excision; Comparison of Suture, Hemostatic Sealant, and Bipolar Dessication. A Systematic Review and Meta-Analysis

Adnexal Masses in Children and Adolescents

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