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Systematic review and meta-analysis of the effect of bipolar electrocoagulation during laparoscopic ovarian endometrioma stripping on ovarian reserve.

Author: BaracatEdmund Chada, DeckersPaula, MiyaharaCamila Barião da Fonseca, RibeiroSérgio Conti, SimõesRicardo Dos Santos

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Overview

Bipolar electrocoagulation negatively impacts ovarian reserve and should be avoided, especially for patients with reproductive goals.
Paper Details　
Original Abstract of the Article :
BACKGROUND: Laparoscopic stripping is the gold-standard treatment for ovarian endometriosis. The choice of hemostasis method might affect ovarian reserve. OBJECTIVES: To determine whether bipolar electrocoagulation is more detrimental to ovarian reserve than non-thermal hemostasis methods. SEARCH ...See full text at original site
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引用元：
https://doi.org/10.1002/ijgo.12338

データ提供：米国国立医学図書館（NLM）

Laparoscopic Endometrioma Stripping: Balancing Hemostasis and Ovarian Reserve

Laparoscopic stripping is a standard treatment for ovarian endometriosis, but the choice of hemostasis method might impact ovarian reserve. This meta-analysis aimed to assess the potential impact of bipolar electrocoagulation, a commonly used hemostasis technique, on ovarian reserve compared to non-thermal methods. The researchers analyzed data from randomized controlled trials comparing anti-Müllerian hormone (AMH) levels after laparoscopic stripping using bipolar electrocoagulation and non-thermal hemostasis techniques.

Bipolar Electrocoagulation: A Potential Threat to Ovarian Reserve

The meta-analysis revealed that bipolar electrocoagulation negatively impacted ovarian reserve, resulting in a significant decrease in AMH levels compared to non-thermal hemostasis methods. This suggests that bipolar electrocoagulation might compromise fertility potential, raising concerns for women with reproductive goals. The findings underscore the importance of considering the potential impact of different hemostasis methods on ovarian reserve and choosing alternative techniques when possible.

Preserving Fertility: Choosing Wisely During Laparoscopic Stripping

This meta-analysis highlights the importance of carefully considering the potential impact of hemostasis methods on ovarian reserve, especially for women with reproductive goals. The findings suggest that bipolar electrocoagulation might negatively affect fertility potential, emphasizing the need to explore alternative hemostasis techniques when possible. This research contributes to the ongoing efforts to improve surgical techniques while preserving fertility potential in women with endometriosis.

Dr.Camel's Conclusion

Just like a camel navigating a delicate desert ecosystem, preserving ovarian reserve during laparoscopic stripping requires careful attention. This meta-analysis emphasizes the potential negative impact of bipolar electrocoagulation on fertility potential, prompting clinicians to explore alternative hemostasis methods when possible to protect women's reproductive health.

Date :
  1. Date Completed 2018-07-16
  2. Date Revised 2018-12-02
Further Info :

Pubmed ID

28980317

DOI: Digital Object Identifier

10.1002/ijgo.12338

Related Literature

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・Effective treatment of endometriosis
SNS
PICO Info
in preparation
Languages

English

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