Year: 2021
Type: article
Study designs: Randomized Controlled Trial, Clinical Trial
Abstract: Introduction: Ovarian cysts are a frequent finding in reproductive-aged women.Compared to laparotomy, laparoscopic cystectomy is increasingly gaining acceptance for ovarian cystectomy 1 , but there is still no consensus on which approach is better regarding ovarian reserve 2 .Objective: To determine and compare the impact of the approach of ovarian cystectomy whether laparoscopic or open on ovarian reserve parameters.Methodology: This prospective randomized study was conducted on 40 patients of reproductive age (range, 18-35 years) with benign ovarian cysts who underwent either laparoscopic ovarian cystectomy (n=20) or open ovarian cystectomy(n=20).Serum anti-Müllerian hormone (AMH), antral follicle count (AFC), and follicular stimulating hormone (FSH)were measured preoperatively and 3 months postoperatively in all patients.Results: Serum AMH decreased significantly at 3 months postoperatively in both laparoscopic and open ovarian cystectomy groups.The AFC increased significantly at 3 months postoperatively in both laparoscopic and open ovarian cystectomy groups.On the other hand, no significant difference in FSH was found between the preoperative and 3 months postoperative levels in both groups.Conclusion: No significant difference was found between both approaches of ovarian cystectomy whether laparoscopic or open regarding the change in ovarian reserve parameters postoperatively.
Authors: Ahmed L Aboul Nasr, Ahmed Soliman Nasr, Amr H Wahba, Reham Zeyada, Nadia M Helmy
Institution: Cairo University
Language: English
Subfield: Reproductive Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W3132383781