The impact on ovarian reserve after laparoscopic ovarian cystectomy versus three-stage management in patients with endometriomas: a prospective randomized study

Impact of Laparoscopic Ovarian Cystectomy Versus Laparoscopic Coagulation on Ovarian Reserve in Cases of Ovarian Endometrioma

“…In contrast to our study, Tsolakidis et al, (27) researched the effect on ovarian reserve after laparoscopic ovarian cystectomy versus three-stage management in cases with endometriomas as respects AFC, the operated ovary increased significantly (p = 0.002) in group 2 (three-stage laser vaporization) (from 1.27-4.36) in relation to group 1 (ovarian cystectomy) (from 2-2.38), no explanation was available for these progressions aside from that decompression could release same compressed follicles form physical concealment.…”

“…In the cystectomized ovaries, the preoperative ovarian volume was 13.03 ± 1.13 cm3, which tumbled to 6.27 ±1.95 cm3 in the postcystectomy arrange. As opposed to our study, Tsolakidis et al, (27) found no impact on ovarian volume in three-stage management comparing it with stripping.…”

Assessment of the Ovarian Reserve Before and After Laparoscopic Surgery Using Two Different Techniques for Ovarian Endometrioma

“…(28) In contrast to our study Dimitrios Tsolakidis etal, investigated the impact on ovarian reserve after laparoscopic ovarian cystectomy versus three-stage management in patients with endometriomas as regards AFC the operated ovary increased significantly (P=0.002) in group 2(three-step laser vaporization) (from 1.27-4.36) in relation to group 1 (ovarian cystectomy ) (from 2-2.38) no explanation was present for this changes. (13) As regards ovarian volume in our study, in the cystectomized ovaries (Group1), the preoperative ovarian volume was with mean ± SD= 11.35 ± 2.04(cm 3 ), which fell to 9.25 ± 1.56 cm 3 after 1month, 7.42 ± 1.71 cm 3 after 3months and then 7.33 ± 1.89 cm 3 after 6months in the post cystectomy stages, In the coagulated ovary(Group2) the precoagulation ovarian volume was with mean ± SD = 11.30 ± 2.07 cm 3 had fallen to 9.61 ± 1.81 cm 3 after 1month, 8.35 ± 1.76 cm 3 after 3months and then 8.25 ± 1.79 cm 3 after 6months in postcoagulation stages, our results was with agreement of Turgut Var et al, (28) In the coagulated ovary, the ovarian volume preoperative and postoperative(after 6months) follicles was compared; the precoagulation ovarian volume = 13.56 ± 1.5 had fallen to 9.87 ± 2.05by the postcoagulation stage. The difference was statistically significant (P=0.01).…”

“…In recent years, attention has shifted to direct tests such as AMH, ovarian volume and antral follicle count (AFC). (9)(10)(11)(12)(13).…”

Principles of removal of endometrial ovarian cysts with particular reference to ovarian reserve

“…technika trójstopniowa zaproponowana przez Donnez i wsp. powoduje mniejsze uszkodzenia jajnika w porównaniu z wyłuszczeniem [28]. Potwierdzili to, oznaczając stężenie hormonu antymüllerowskiego (anti--müllerian hormone -AMH), który dzięki swym unikalnym właściwościom należy do markerów odzwierciedlających AFC (rezerwa jajnikowa).…”