Bipolar electrocoagulation versus suture of solitary ovary after laparoscopic excision of ovarian endometriomas.

Abstract

STUDY OBJECTIVE:

To compare the functional ovarian damage associated with the use of bipolar coagulation versus ovarian suture after laparoscopic excision of ovarian endometriomas in patients with a solitary ovary.

DESIGN:

Retrospective study (Canadian Task Force classification II-3).

SETTING:

Tertiary care center.

PATIENTS:

Forty-seven consecutive women with a single ovary and regular menses who underwent laparoscopic stripping of one or more ovarian endometriomas between June 1996 and June 2001. Intervention. Twenty-one patients had bipolar electrocoagulation (group A), while 26 had suturing of the ovary (group B). Plasma follicle-stimulating hormone (FSH) and estradiol levels were determined before surgery and re-evaluated at 3-, 6-, and 12-month follow-up.

MEASUREMENTS AND MAIN RESULTS:

At 12-month follow-up, six patients (29%) in group A had oligo-amenorrhea versus three patients (12%) in group B (p = .14). Follicle-stimulating hormone levels between 10 and 20 mlU/mL were found in five patients (24%) in group A and in three patients (12%) in group B, whereas FSH levels above 20 mlU/mL were found in three patients (14%) in group A and in no patient in group B. Eight patients (38%) in group A had FSH levels greater than 10 mlU/mL versus three patients (12%) in group B (p = .042). Overall, repeated analysis of variance showed a marginally significant difference (p = .06) in FSH values between the two groups.

CONCLUSION:

Our results suggest that bipolar electrocoagulation of the ovarian parenchyma after laparoscopic stripping of an endometriotic ovarian cyst adversely affects ovarian function.

• Authors: Luigi Fedele, Stefano Bianchi, Giovanni Zanconato, Valentino Bergamini, Nicola Berlanda
• Journal: The Journal of the American Association of Gynecologic Laparoscopists (J Am Assoc Gynecol Laparosc) Vol. 11 Issue 3 Pg. 344-7 (Aug 2004) ISSN: 1074-3804 [Print] United States
• PMID: 15559346 (Publication Type: Journal Article)

Chemical References

• Estradiol
• Follicle Stimulating Hormone

Topics

• Adult
• Electrocoagulation
• Endometriosis (surgery)
• Estradiol (blood)
• Female
• Follicle Stimulating Hormone (blood)
• Humans
• Ovarian Cysts (surgery)
• Ovarian Diseases (surgery)
• Ovary (physiopathology, surgery)
• Retrospective Studies
• Suture Techniques