@article{article_635204, title={The effect of hemostasis by electrocoagulation versus suture on endometrioma recurrence and pregnancy rates after laparoscopic cystectomy in endometriomas}, journal={Cukurova Medical Journal}, volume={45}, pages={482–487}, year={2020}, DOI={10.17826/cumj.635204}, author={Yıldız, Şükrü and Kaya, Cihan and Alay, İsmail and Ekin, Murat and Yaşar, Levent}, keywords={endometriosis,recurrence,haemostasis,cystectomy}, abstract={<p class="MsoNormal" style="line-height:150%;">Purpose: The aim of this study was to assess the effect of hemostasis by electrocoagulation versus suture on endometrioma recurrence and pregnancy rates after laparoscopic cystectomy in uni/bilateral endometriomas. <br />Materials and Methods: Forty-six primary infertile patients wishing to conceive without any assisted reproductive treatments, between 18 and 42 years, with uni/bilateral endometriomas were retrospectively analyzed. Laparoscopic cystectomies were performed by the stripping method. Ovarian hemostasis was obtained either by suturing (n = 23) or by bipolar electrocoagulation (n = 22). Cyst recurrence was evaluated by postoperative ultrasound scan. Pregnancy was confirmed by serum Beta-human choronic gonadotropin (B-hCG) levels if the patient presented with menstrual delay. <br />Results: The mean of age of the patients was 31.62±6.55 years old. There was no significant difference between study groups regarding age, body mass index (BMI), preoperative endometrioma size, or pre/post-operative hemoglobin/hematocrite (Hb/Htc) levels. The recurrence rate was higher in the electrocoagulation group than the suturing group; however, the difference was not statistically significant. The spontaneous pregnancy rates were also similar between study groups. There was no significant difference between study groups considering unilaterality or bilaterality of endometriomas. <br />Conclusion: Our preliminary data show that an operation on ovarian endometriomas-either electrocoagulation or suturing-may not affect endometrioma recurrence or spontaneous pregnancy rate. <br /> </p>}, number={2}, publisher={Cukurova University}