The effect of bipolar electro-coagulation during ovarian cystectomy versus suture on ovarian reserve

Abstract

Background: Small incisions, reduced pain, lower wound rates of infection, faster ambulation, and faster recovery are all benefits of laparoscopic ovarian cystectomy. Nevertheless, there are concerns regarding ovarian reserve in connection to the operative and hemostatic procedures utilized during the procedure. Aim of the work:To see how bipolar electrocoagulation and suture affected ovarian reserve following ovarian cystectomy. Patients and methods: Prospective observational randomized study included a sample of 50 women with ovarian cyst. Patients were randomly assigned to one of two groups: sutures (25 patients) or bipolar electro-coagulation (25 patients). All patients underwent ovarian cystectomy. Results: At three months following surgery, there has been no statistically significant difference in FSH levels between the suture group and the bipolar electro-coagulation group. While the suture group's mean FSH value was statistically lower than the bipolar electro-coagulation group's at 6 months after surgery. At 3 and 6 months after surgery, there has been no statistically significant difference in AMH between the suture group and the bipolar electro-coagulation group. At 3 and 6 months following surgery, there has been no statistically significant difference in antral follicle count (AFC) between the suture group and the bipolar electro-coagulation group. Mean value of AMH was statistically higher at day 3 of menstrual cycle than at 3and 6 months after the surgery among bipolar electro-coagulation group. Conclusion: FSH increased more in the bipolar electro cauterization group 6 months after surgery than in the homeostatic suturing group, possibly indicating more ovarian reserve loss in the former.