Effect of Laparoscopic Suturing Versus Bipolar Coagulation on Ovarian Reserve in Patients Undergoing Endometriotic Ovarian Cystectomy.

Ain Shams University60 enrolled

Overview

In women undergoing laparoscopic ovarian cystectomy which is less harmfull on the ovarian reserve (electrocoagulation or suturing).

The aim of the present study was to determine which hemostatic procedure (hemostatic suture or electrocautery) may be less harmful after laparoscopic cystectomy, based on the longterm status of the ovarian reserve.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

Conditions

Ovary Injury

Interventions

2-0 polyglican absorbable suturesDEVICE

The sutures will be performed with intracorporeal knots using 2-0 polyglican absorbable sutures (Vicryl; Ethicon Inc., New Jersey, USA). Suture is performed using needle holders for the closure of ovarian parenchyma and controlling bleeding. Bleeding from ovarian hilus will only resolve by suturing.

DiathermyDEVICE

bipolar coagulation technique will be used to control significant bleeding (40 W current; Richard Wolf, Germany). I

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age 18- 45. 2. Regular menstrual cycle. 3. Unilateral ovarian cyst clinical \& us finding as endometriotic cyst. 4. C/O of pelvic pain. 5. No medications (oral pills \& hormonal drugs) in the past 3 monthes before enrollement. 6. No evidence of endocrine disorders (DM, Thyroid dysfunction,hyper prolactenemia, congenital adrenal hyperplesia, cushing's syndrome or adrenal insufficiency) 7. No previous adnexial surgery. 8. Pathology diagnosis of excised ovarian tissue (endometriotic cyst) 9. Appropriate medical condition for laparoscopic surgery. 10. Completely understand the process of the study with written consent. Exclusion Criteria: 1. PCO according to Rotterdam criteria. 2. Pathological diagnosis of excised ovarian tissue as non endometriotic cyst. 3. Previous ovarian surgery. 4. Suspected ovarian malignancy. 5. Patient whose histopathology showed benign cyst apart from endometrioma. 6. Irregular menstrual cycles. 7. Post menopausal status. 8. Bilateral ovarian cyst. 9. AMH \< 0.5 ng/ml. 10. Premature ovarian failure in family.

Locations (1)

Ain shams maternity teaching hospital

Cairo, Abbasia, Egypt

RECRUITING

Outcomes

Primary Outcomes

Ovarian reserve

By measuring Anti-mullerian hormone

Time frame: 3 months

Central Contacts

Mohamed Abd elfatah el senity, Lecturer

CONTACT

+201226573332 M.elsenity@yahoo.com

Ahmad Yousef riad, M.B.B.C.H

CONTACT

+201093151434 ahmedriadaboelnaga90@gmail.com

Data from ClinicalTrials.gov

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