Ovaryan Endometrioma Olgularında Laparoskopik Kist Eksizyonu ile Laparoskopik Fenestrasyon, Drenaj Ve Argon Beam Coagulator ile Vaporizasyonun Ovaryan Rezerv Üzerine Etkileri

Abstract

Aim: There is general agreement that medical treatment alone is inadequate and surgery is the gold standart in the treatment of ovarian endometriomas. Laparoscopy is the preferred surgical method. mHowever, it has been proposed that surgery, especially cystectomy may damage ovarian tissue and reserve. In this study, we aimed to determine whether laparoscopic excision and laparoscopic fenestration, drainage and vaporization using the argon beam coagulator have any effect on ovarian reserve tests. Materials and methods: Patients who underwent laparoscopy between 20 –37 years of age with mendometriomas at the Ankara University Medical Faculty, Department of Obstetrics and Gynecology mmwere included in the study. Laparoscopic cystectomy (n = 7) or laparoscopic fenestration, drainageand vaporization with the argon beam coagulator (n = 4) was performed. Ovarian reserve was measured by day 3 FSH, estradiol levels and day 10 FSH levels after clomiphene citrate challenge test inall patients and preoperative and postoperative levels were compared. Results: There were no significant differences in basal FSH, estradiol levels and day 10/day 10+3 FSH mlevels preoperatively and postoperatively in all patients. The ovarian reserve tests were also similar preoperatively and postoperatively in the laparoscopic cystectomy or vaporization groups. Ovarian reserve tests were found to be normal in all patients but one with a history of laparotomic excision of bilateral endometriomas. Conclusion: In this preliminary study, no effect on basal FSH, estradiol and clomiphene citrate challenge test with both surgical techniques has been observed. A prospective, randomized study is needed to make a definitive conclusion regarding the effect of cystectomy and ablation on ovarian reserve and the use of argon beam coagulator in endometrioma surgery

Keywords

• Endometrioma
• kistektomi
• ablation
• argon beam coagulator
• ovarian reserve

Ovaryan Endometrioma Olgularında Laparoskopik Kist Eksizyonu ĝle Laparoskopik Fenestrasyon, Drenaj Ve Argon Beam Coagulator ĝle Vaporizasyonun Ovaryan Rezerv Üzerine Etkileri

Abstract

References

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