کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3970067 1600910 2015 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The impact on ovarian reserve of haemostasis by bipolar coagulation versus suture following surgical stripping of ovarian endometrioma: a meta-analysis
ترجمه فارسی عنوان
تأثیر ذخایر هورمونهای تخمدان بر انقباض دوقطبی در برابر سایش پس از جراحی سلب کردن اندومتریوم تخمدان: یک متاآنالیز
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

Concern is increasing that the use of bipolar coagulation or suturing to obtain haemostasis after surgical stripping of ovarian endometrioma could affect ovarian reserve. To compare the ovarian damage associated with the use of bipolar coagulation with ovarian suture as determined by anti-Müllerian hormone (AMH), FSH and antral follicle count, 21 studies were identified. Pooled analysis of 312 patients showed the average serum level of AMH was lower in the coagulation group than in the suture group (3-month follow-up: weighted mean difference (WMD) −0.75 ng/ml, 95% confidence interval (CI) −1.82 to 0.31; 6 months: WMD −1.45 ng/ml, 95% CI −2.43 to −0.47; 12 months: WMD −1.01 ng/ml; 95% CI −1.85 to −0.17), although heterogeneity was high. The weighted overall average levels of FSH between the two groups were not statistically significantly different 3 months after surgery (WMD 0.37 mIU/ml; 95% CI −1.56 to 1.30). The mean antral follicle count in the coagulation group was significantly less than in the suture group at 3 months' follow-up (WMD −2.53, with 95% CI −4.94 to −0.12). This study showed bipolar coagulation did more harm to the ovarian reserve than the suture haemostasis during excision of ovarian cyst as shown by a significant postoperative reduction in AMH.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Reproductive BioMedicine Online - Volume 30, Issue 6, June 2015, Pages 635–642
نویسندگان
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