Background: Laparoscopic ovarian cystectomy has the benefit of small incisions, less pain, decreased wound infection rates, faster ambulation, and rapid recovery; however, there are questions about ovarian reserve in relation to the surgical and hemostatic techniques used during laparoscopic ovarian cystectomy.
Aim of the study: The aim was to determine the effects of bipolar electrocoagulation and suture on the ovarian reserve after ovarian cystectomy.
Patients and Methods: Prospective observational randomized study included a sample of 50 women with ovarian cyst. Patients were randomized into suture group (25 patients) or bipolar electro-coagulation group (25 patients). Ovarian cystectomy was performed to all patients.
Results: there was no statistically significant difference between Suture group and bipolar electro-coagulation group regarding FSH at 3 months after the surgery. While Mean value of FSH at 6 months after the surgery was statistically lower among Suture group than Bipolar electro-coagulation group. There was no statistically significant difference between Suture group and bipolar electro-coagulation group regarding AMH at 3 & 6 months after the surgery. There was no statistically significant difference between Suture group and bipolar electro-coagulation group regarding antral follicle count (AFC) at 3 & 6 months after the surgery. 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 6 months postoperatively in the bipolar electro cauterization group more than the in homeostatic-suturing group, which could indicate more loss of ovarian reserve in the former group.