| 000 | 03446cam a2200349 a 4500 | ||
|---|---|---|---|
| 003 | EG-GiCUC | ||
| 005 | 20250223032046.0 | ||
| 008 | 180920s2018 ua dh f m 000 0 eng d | ||
| 040 |
_aEG-GiCUC _beng _cEG-GiCUC |
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| 041 | 0 | _aeng | |
| 049 | _aDeposite | ||
| 097 | _aPh.D | ||
| 099 | _aCai01.11.15.Ph.D.2018.Sh.I | ||
| 100 | 0 | _aShaimaa Mostafa Mohammed Refaay Elshemy | |
| 245 | 1 | 0 |
_aImpact of laparoscopic ovarian cystectomy versus aspiration and coagulation on ovarian reserve and pelvic pain in cases of ovarian endometrioma : _bA randomized controlled trial / _cShaimaa Mostafa Mohammed Refaay Elshemy ; Supervised Mohammed Zayed Abdelaziz , Manal Mohammed Kamal , Khaled Ahmed Abdelaziz Elsetohy |
| 246 | 1 | 5 |
_aتأثير إستئصال مقابل شفط وكىّ كيس بالمبيض عن طريق منظار البطن على مخزون المبيض وألم الحوض في حالات كيس بطانة الرحم المهاجرة بالمبيض بواسطة : _bتجربة سريرية عشوائية محكّمة |
| 260 |
_aCairo : _bShaimaa Mostafa Mohammed Refaay Elshemy , _c2018 |
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| 300 |
_a126 P. : _bcharts , facsimiles ; _c25cm |
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| 502 | _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics | ||
| 520 | _aObjectives:The current study is designed to explore the impact of laparoscopic ovarian cystectomy versus aspiration and coagulation on ovarian reserve and pelvic pain in cases of ovarian endometrioma. Design: Randomized controlled prospective study. Setting: Obstetrics and Gynecology department, Kasr El-Ainy Hospital. Patients: Ninety two patients presenting with unilateral ovarian endometrioma. Interventions: FSH, LH, E2, AMH, AFC (antral follicular count) and chronic pelvic pain{assessed by Visual Analogue Scale (VAS)} ;all were determined before and after laparoscopic surgery (postoperative three months); for two groups (Group A) cystectomy and (Group B) aspiration and coagulation, performed randomly using closed envelope.Histopathological examination was done to the cystectomy group to confirm endometriosis and detect the presence of healthy ovarian tissue in the excised cyst wall. Main outcome measure: A comparison between the impact of laparoscopic ovarian cystectomy versus aspiration and coagulation on ovarian reserve.Results:There was postoperative significant decrease in (FSH, LH, E2, AMH) and AFC in each group compared with the preoperative values but were within normal ranges and this decrease was of no statistically significant difference between both groups as regarding (FSH, LH, E2, AMH).Although there was a statistically significant difference between both groups in AFC which was more decreased in the cystectomy group. So, AFC was more accurate in predicting ovarian reserve loss than AMH.As regard postoperative chronic pelvic pain; it was improved in both groups with a statistically highly significant difference but the improvement was more marked in the cystectomy group | ||
| 530 | _aIssued also as CD | ||
| 653 | 4 | _alaparoscopic surgery | |
| 653 | 4 | _aOvarian endometrioma | |
| 653 | 4 | _aovarian reserve | |
| 700 | 0 |
_aKhaled Ahmed Abdelaziz Elsetohy , _eSupervisor |
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| 700 | 0 |
_aManal Mohammed Kamal , _eSupervisor |
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| 700 | 0 |
_aMohammed Zayed Abdelaziz , _eSupervisor |
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| 856 | _uhttp://172.23.153.220/th.pdf | ||
| 905 |
_aNazla _eRevisor |
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| 905 |
_aShimaa _eCataloger |
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| 942 |
_2ddc _cTH |
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| 999 |
_c67562 _d67562 |
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