کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3940185 1253581 2008 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Ovarian endometrioma: postoperative adhesions following bipolar coagulation and suture
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Ovarian endometrioma: postoperative adhesions following bipolar coagulation and suture
چکیده انگلیسی

ObjectiveTo compare bipolar coagulation and suturing of the ovary in terms of postoperative ovarian adhesions after laparoscopic ovarian cystectomy for endometriosis.DesignProspective, randomized, controlled study.SettingDepartment of Obstetrics and Gynecology, University of Naples “Federico II.”Patient(s)Thirty-two women with a single endometriotic cyst were randomly divided into two groups of 16 women each (groups A and B).Intervention(s)All patients underwent laparoscopic ovarian cystectomy for endometriosis. In group A, hemostasis was performed by closure of the ovary with an intraovarian suture. In group B, complete hemostasis was achieved only with bipolar coagulation on the internal face of the ovary.Main Outcome Measure(s)Rate and extension of postsurgical ovarian adhesions at 60–90 days follow-up.Result(s)At follow-up, a significantly lower rate of postsurgical ovarian adhesions was observed in group A than in group B (30.8% vs. 57.1%). The extension of ovarian adhesions was significanlty higher in group B than in group A.Conclusion(s)The use of sutures on ovaries treated for endometrioma is associated with a lower rate of postoperative ovarian adhesion formation compared with bipolar coagulation.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Fertility and Sterility - Volume 89, Issue 4, April 2008, Pages 796–799
نویسندگان
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