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| Comparison of the effect of different hemostatic methods during laparoscopic cystectomy |
| 1. Nanchong Central Hospital, Nanchong, Sichuan Province, 637000；2. Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province |
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Abstract To explore the influence of different hemostatic methods during laparoscopic cystectomy of patients on their ovarian function, sex hormones levels, and sexual function. Methods: A total of 240 patients with ovarian cysts who had been laparoscopic cystectomy were randomly divided into group A(120 patients with electrocoagulation hemostasis)and group B(120 patients with suture hemostasis)from January 2018 to January 2019. The surgical conditions, ovarian function, sex hormones levels, and sexual function of the patients were compared between the two groups. Results: The operation time and total postoperative blood loss of the patients in group B were significantly longer than those of the patients in group A, and the postoperative drainage volume of the patients in group B was significantly less than that of the patients in group A(P＜0.05). In the 6th month after operation, there was no significant difference in the ovarian crosssectional area of the patients between the two groups(P＞0.05). The number of antrum follicles decreased, the levels of follicle stimulating hormone(FSH)and luteinizing hormone(LH)of the patients in the two groups had increased significantly, and the level of estradiol(E2)of the patients in the two groups had increased significantly increased(P＜ 0.05). The ovarian cross-sectional area, the number of antral follicles, and the levels of FSH, E2, and LH of the patients in group B had no significantly different from those before operation(P＞0.05). There was no significant difference in the ovarian cross-sectional area of the patients in the 6th month after operation between the two groups(P＞0.05). The number of antral follicles of the patients in group B was significantly more than that of the patients in group A, the levels of FSH and LH of the patients in group B were significantly lower than those of the patients in group A, and the level of E2 of the patients in group B was significantly higher than that of the patients in group A(P＜0.05). Before and 6 months after operation, there were no significant differences in the scores of sexual desire, sexual arousal, vaginal lubrication, orgasm, satisfaction with sexual life, and pain during sexual intercourse by Female Sexual Function Scale(FSFI)of the patients between the two groups(P＞0.05). Conclusion: The suture hemostasis during laparoscopic cystectomy surgery of the patients has less impact on their ovarian function, sex hormones levels, and sexual function.
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