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| Effects of bipolar electrocoagulation and suture for hemostasis during laparoscopic ovarian cystectomy of patients with different anatomical positions of ovarian cyst on the ovarian reserve function and pregnancyof the patients |
| Chengdu First People's Hospital (Chengdu Hospital of Integrated Traditional Chinese and Western Medicine), Chengdu, Sichuan Province, 610041 |
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Abstract To analyze the effects of bipolar electrocoagulation and suture for hemostasis during laparoscopic ovarian cystectomy of patients with different anatomical positions of ovarian cyst on the ovarian reserve function and pregnancy of the patients. Methods: 124 patients with ovarian cysts who wanted laparoscopic ovarian cystectomy were selected and were randomly divided into group A (62 patients with bipolar electrocoagulation hemostasis during surgery) and group B (62 patients with suture hemostasis during surgery) according to the random number table method from March 2020 to March 2021. The levels of sex hormones, such as follicle stimulating hormone (FSH), luteinizing hormone (LH), and estradiol (E2), and the anti-Mullerian hormone (AMH) level of the patients in the two groups on the 3rd day of menstruation before surgery and in 3 months after surgery were detected. The vaginal ultrasound examination was performed to measure the number of bilateral ovarian antral follicles of the patients in the two groups. In the 12th month after surgery, the pregnancy statuses of the patients in the two groups were followed up. Results: The FSH and LH levels of the patients with proximal hilar cyst in group A in the 3rd month after surgery were significantly higher than before surgery, but the E2 and AMH levels, and the number of follicles in bilateral ovarian were significantly lower than those of the patients before surgery (all P<0.05). There were no significant differences in the FSH and LH levels, and the number of follicles in bilateral ovarian of the patients with proximal hilar cyst in group B compared between before and after surgery (P>0.05). The levels of FSH and LH, and the number of follicles in bilateral ovarian of the patients in group B were significantly lower than those of the patients in group A, but the levels of E2 and AMH of the patients in group B were significantly higher (all P<0.05). There were no significant differences in the levels of the sex hormones and AMH, and the number of follicles in bilateral ovarian of the patients with distal ovarian hilar cyst before surgery and 3 months after surgery between the two groups. There were no significant differences in the adverse pregnancy outcomes between the patients with proximal ovarian hilar cyst and the patients with distal ovarian hilar cyst (P>0.05). Conclusion: For the patients with proximal ovarian hilar cysts, the suture hemostasis during laparoscopic ovarian cystectomy is more helpful to protect the ovarian function when comparing with those of the bipolar electrocoagulation hemostasis, but for the patients with distal ovarian hilar cysts, bipolar electrocoagulation hemostasis is recommended as the preferred choice. The bipolar electrocoagulation and suture for hemostasis during laparoscopic ovarian cystectomy of the patients with different anatomical locations of the ovarian cysts all have no adverse influence on the pregnancy outcomes of the patients.
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