The impact of laparoscopic versus open ovarian cystectomy on ovarian reserve /
تأثير إزالة حويصلة المبيض بالمنظار مقابل فتح البطن على إحتياطى المبيض
Nadia Mohamed Helmy ; Supervised Ahmed Lotfy Aboulnasr , Ahmed Soliman Nasr , Amr Hassan Hussein Wahba
- Cairo : Nadia Mohamed Helmy , 2019
- 124 P. : charts , facsimiles ; 25cm
Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics
Objective: To determine and compare the impact of the approach of ovarian cystectomy whether laparoscopic or open on ovarian reserve parameters. Methods: This prospective study was conducted on 40 patients of reproductive age (range, 1835 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 change was found between both approaches of ovarian cystectomy whether laparoscopic or open regarding the change in ovarian reserve parameters postoperatively