Effect on ovarian reserve of laparoscopic bipolar electrocoagulation versus laparotomic hemostatic sutures during unilateral ovarian cystectomy

Mohamed, Mohamed L.; Nouh, Amal; El-Behery, Manal M.; Mansour, Shymaa A. E.-A.

doi:10.1016/j.ijgo.2011.01.010

Cited by 49 publications

(41 citation statements)

References 23 publications

(31 reference statements)

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“…The levels of AMH 1 and 3 months after the procedure were significantly higher among patients treated with sutures according to the results of Mohamed et al 19 and Li et al 24 Takashima et al, 23 on the other hand, reported similar outcomes among the 2 groups. Three studies investigated the levels of serum AMH at 6 months following the procedure.…”

Section: Main Outcomesmentioning

confidence: 72%

“…22,24 Bipolar electrocoagulation seems to also negatively affect the AFC. Two studies reported a negative impact during the first month, 18,19 whereas the number of studies that confirmed this observation at 3 months increased. [18][19][20]24 This effect was also observed at 6 months (3 studies 18,19,24 ) and at 12 months (1 study 18,24 ) following the procedure ( Table 3).…”

Section: Main Outcomesmentioning

confidence: 96%

“…Three studies investigated the levels of serum AMH at 6 months following the procedure. 19,22,24 Mohamed et al 19 and Li et al 24 reported significantly increased levels of AMH among patients treated with sutures. Two studies reported outcomes at 12 months, and once again only Li found a significant increase in the same group of patients.…”

Section: Main Outcomesmentioning

confidence: 99%

“…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%

“…Four studies 18,19,22,23 (285 women) reported the postoperative pregnancies rates ( Table 3). None of them found significant differences between the bipolar-treated and the suture-treated women.…”

Section: Main Outcomesmentioning

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: Main Outcomesmentioning

confidence: 72%