caa a22 4500 445308761 CHVBK 20180317142622.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00404-010-1676-x doi (NATIONALLICENCE)springer-10.1007/s00404-010-1676-x Electrocoagulation versus suture after laparoscopic stripping of ovarian endometriomas assessed by antral follicle count: preliminary results of randomized clinical trial [Elektronische Daten] [Mario Coric, Dubravko Barisic, Dinka Pavicic, Magdalena Karadza, Maja Banovic] Purpose: The assessment of ovarian reserve by antral follicle count (AFC) following electrocoagulation versus suture after laparoscopic stripping of ovarian endometriomas. Methods: Forty-five patients between 18 and 35years, with unilateral endometriomas were randomly analyzed. Laparoscopic cystectomy was performed by the stripping method. Ovarian hemostasis was obtained either by suturing (group A, n=23) or by bipolar electrocoagulation (group B, n=22). AFC was performed by ultrasound on the third day of the three postoperative menstrual cycles. The sum of AFC was compared between sutured (A1) and electrocoagulated (B1) ovaries, as well as between intact ovaries of both groups (A0: intact ovaries in sutured group, B0: intact ovaries in electrocoagulated group). Results: The median of AFC was significantly lower in operated ovaries than in intact ovaries in both groups of patients, regardless of suturing [A1 median: 12 (range 9-19) vs. A0 median: 21.0 (range 15-27), p<0.05] or electrocoagulation [B1: 5.0 (2-10) vs. B0: 18.5 (8-29), p<0.05]. The median AFC was significantly higher in sutured ovaries than in electrocoagulated ovaries [A1: 12 (9-19) vs. B1: 5.0 (2-10), p<0.05]. Conclusion: Our preliminary data show that operation on ovarian endometriomas could reduce ovarian reserve. The AFC value suggests that the ovarian reserve was less reduced in sutured ovaries than in those electrocoagulated. Suturing as a method of hemostasis could be a better choice after stripping ovarian endometriomas. Springer-Verlag, 2010 Ovarian reserve nationallicence Endometrioma nationallicence Antral follicle count nationallicence Laparoscopy nationallicence Coric Mario Department of Gynecological Surgery, Zagreb University Hospital Center, Petrova 13, 10 000, Zagreb, Croatia aut Barisic Dubravko Department of Gynecological Surgery, Zagreb University Hospital Center, Petrova 13, 10 000, Zagreb, Croatia aut Pavicic Dinka Department of Gynecological Surgery, Zagreb University Hospital Center, Petrova 13, 10 000, Zagreb, Croatia aut Karadza Magdalena Department of Gynecological Surgery, Zagreb University Hospital Center, Petrova 13, 10 000, Zagreb, Croatia aut Banovic Maja Department of Gynecological Surgery, Zagreb University Hospital Center, Petrova 13, 10 000, Zagreb, Croatia aut Archives of Gynecology and Obstetrics Springer-Verlag 283/2(2011-02-01), 373-378 0932-0067 283:2<373 2011 283 404 https://doi.org/10.1007/s00404-010-1676-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1676-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Coric Mario Department of Gynecological Surgery, Zagreb University Hospital Center, Petrova 13, 10 000, Zagreb, Croatia aut NATIONALLICENCE 700 1- Barisic Dubravko Department of Gynecological Surgery, Zagreb University Hospital Center, Petrova 13, 10 000, Zagreb, Croatia aut NATIONALLICENCE 700 1- Pavicic Dinka Department of Gynecological Surgery, Zagreb University Hospital Center, Petrova 13, 10 000, Zagreb, Croatia aut NATIONALLICENCE 700 1- Karadza Magdalena Department of Gynecological Surgery, Zagreb University Hospital Center, Petrova 13, 10 000, Zagreb, Croatia aut NATIONALLICENCE 700 1- Banovic Maja Department of Gynecological Surgery, Zagreb University Hospital Center, Petrova 13, 10 000, Zagreb, Croatia aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/2(2011-02-01), 373-378 0932-0067 283:2<373 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer