Cagdas SahinAli Osman AkdemirAhmet Mete ErgenoǧluBanu OzgurelAhmet Özgür YenielDilek TaşkiranFatih ŞendaǧErgenoglu, Ahmet MeteSahin, CagdasAkdemir, AliYeniel, Ahmet OzgurOzgurel, BanuTaskiran, DilekSendag, Fatih2025-10-06201719337191, 193372051933-71911933-720510.1177/19337191166571952-s2.0-85012991992https://www.scopus.com/inward/record.uri?eid=2-s2.0-85012991992&doi=10.1177%2F1933719116657195&partnerID=40&md5=ff51903223e94630c8190f38a0aa75a6https://gcris.yasar.edu.tr/handle/123456789/9695https://doi.org/10.1177/1933719116657195The aim of the present study was to determine the long-term effects of different laparoscopic hemostatic techniques on ovarian reserve after ovarian cystectomy. Ninety patients with unilateral ovarian cysts were recruited and randomly distributed into 2 groups. Laparoscopic stripping cystectomy was performed in all patients. Afterward cystectomy hemostasis was achieved via hemostatic suture or bipolar electrocoagulation. Serum levels of anti-Müllerian hormone (AMH) were determined preoperatively and postoperatively at 1 3 and 12 months and patients were evaluated for residual ovarian volume antral follicle count and pregnancy. The statistical difference was determined between the 2 groups in terms of AMH levels at 3 months (hemostatic suture group = 3.17 ± 3.40 vs bipolar electrocoagulation group = 2.38 ± 2.57 P =.006) and 12 months (hemostatic suture group = 3.71 ± 3.09 vs bipolar electrocoagulation group = 2.78 ± 2.85 P =.005). In addition in the hemostatic suture group there was no statistically significant difference between preoperative and postoperative AMH levels (P =.165) and between the postoperative antral follicle count (P =.779) and the residual ovarian volume (P =.248) whereas in the bipolar electrocoagulation group postoperative AMH levels were lower than preoperative levels (P =.028) and postoperative residual ovarian volumes at 3 and 12 months were lower than those at 1 month (P =.001). Nonetheless pregnancy rates were not significantly different (P =.546). Bipolar electrocoagulation is more destructive compared with hemostatic suture. However the ovarian reserve does not decrease further during the follow-up period. © 2017 Elsevier B.V. All rights reserved.Englishinfo:eu-repo/semantics/closedAccessElectrocautery, Laparoscopic Cystectomy, Ovarian Reserve, Suture, Muellerian Inhibiting Factor, Anti-mullerian Hormone, Muellerian Inhibiting Factor, Adult, Article, Bipolar Electrocoagulation, Body Mass, Cauterization, Controlled Study, Cystectomy, Electrocoagulation, Female, Female Genital Tract Parameters, Hemoglobin Determination, Hemostatic Suture, Hemostatic Technique, Human, Laparoscopic Ovarian Cystectomy, Laparoscopic Surgery, Long Term Survival, Major Clinical Study, Operation Duration, Ovarian Reserve, Ovary Cyst, Ovary Follicle, Parity, Postoperative Period, Pregnancy, Preoperative Period, Priority Journal, Prospective Study, Randomized Controlled Trial, Suture, Unilateral Ovarian Cyst, Blood, Laparoscopy, Ovarian Cysts, Ovary, Physiology, Pregnancy Rate, Procedures, Treatment Outcome, Young Adult, Adult, Anti-mullerian Hormone, Electrocoagulation, Female, Hemostatic Techniques, Humans, Laparoscopy, Ovarian Reserve, Ovary, Postoperative Period, Pregnancy, Pregnancy Rate, Sutures, Treatment Outcome, Young AdultMuellerian inhibiting factor, adult, Article, bipolar electrocoagulation, body mass, cauterization, controlled study, cystectomy, electrocoagulation, female, female genital tract parameters, hemoglobin determination, hemostatic suture, hemostatic technique, human, laparoscopic ovarian cystectomy, laparoscopic surgery, long term survival, major clinical study, operation duration, ovarian reserve, ovary cyst, ovary follicle, parity, postoperative period, pregnancy, preoperative period, priority journal, prospective study, randomized controlled trial, suture, unilateral ovarian cyst, blood, laparoscopy, Ovarian Cysts, ovary, physiology, pregnancy rate, procedures, treatment outcome, young adult, Adult, Anti-Mullerian Hormone, Electrocoagulation, Female, Hemostatic Techniques, Humans, Laparoscopy, Ovarian Reserve, Ovary, Postoperative Period, Pregnancy, Pregnancy Rate, Sutures, Treatment Outcome, Young AdultLaparoscopic CystectomySutureOvarian ReserveElectrocauteryArticle