Wound Electrocoagulation and Suture Hemostasis on Residual Ovarian Reserve Function after Laparoscopic Ovarian Cystectomy
Department of Gynaecology, Jingzhou Central Hospital, Jingzhou 434020, 1Jingzhou Clinical Medical College, Yangtze University, Jingzhou 434000, China
S. ZHANG, Jingzhou Clinical Medical College, Yangtze University, Jingzhou 434000, China, E-mail: Zhang830714@sohu.com
This paper aims to compare the effects of electrocoagulation and suture hemostasis on ovarian reserve function after laparoscopic ovarian cystectomy. According to the random double blind method, 220 patients who underwent laparoscopic ovarian cystectomy in our hospital between March 2014 and March 2016 were divided into two groups. 110 cases of observation group received suture hemostasis and 110 cases of control group received bipolar coagulation. Follicle stimulating hormone, luteinizing hormone, estradiol and antral follicle count were compared between the two groups at 1 mo and 3 mo after surgery respectively. 3 mo after the operation, the patients were follow up for ovulation and menstruation. The ovarian function of the two groups was compared. The results at 1 mo after operation showed that all the observation indexes of the two groups had a certain degree of improvement and there was significant statistical change (p<0.05) after the treatment (p>0.05). 3 mo after the operation, there was no significant difference in the observation group compared with the situation at 1 mo after the operation (p<0.05), but there was significant difference in the control group (p<0.05) and there was significant statistical significance between the two groups (p<0.05). For the observation group, abnormal ovulation, hypomenorrhea and prolonged menstrual period were less than those in the control group. There was statistical difference between the two groups (p<0.05). For patients receiving laparoscopic ovarian cystectomy, effect of suture hemostasis on ovarian function after surgery is less and there is a certain superiority compared with bipolar wound electrocoagulation. Thus, suture hemostasis is recommended as priority selection in the clinics.