Influence of Various Hemostatic Methods on Ovarian Reserve Function in Women with Ovarian Endometriotic Cyst Treated by Laparoscopic Cystectomy: A Systematic Review_Chinese Journal of Evidence-Based Medicine

Authors：

 LIJing ¹ , LVJuan ¹ , WANGYu-Juan ¹ ,  WANGZan-hong ²

1. Shanxi Medical University, Taiyuan 030001, China;
2. Department of Gynecology, Shanxi Academy of Medical Sciences, Shanxi Dayi Hospital, Taiyuan 030032, China;

Corresponding?author：

WANGZan-hong, Email: wangzanhong@126.com

Keywords：

Laparoscopic surgery; Ovarian endometriotic cyst; Hemostasis; Ovarian reserve function; Systematic review; Meta-analysis; Randomized controlled trial

DOI：

10.7507/1672-2531.20150139

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To systematically review the influence on ovarian reserve function by different hemostatic methods during laparoscopic cystectomy in treatment of ovarian endometrioma (OE). Methods Databases including The Cochrane Library, PubMed, EMbase, CNKI, CBM and WanFang Data were electronically searched, to collect relevant randomized controlled trials (RCTs) about laparoscopic electro coagulation vs. microscopically suture for OE from 1990 to Mar, 2014. Meanwhile, references of included studies were also retrieved manually. Two reviewers independently screened literature according to the inclusion and exclusion criteria, extracted data and assessed the risk of bias of included studies. Then RevMan 5.2 software was used for meta-analysis. Results A total of 16 RCTs involving 1 236 patients were finally included. The results of meta-analysis showed that the luteinizing hormone (LH) levels after 1 month, 2 months, 6 months and 12 months and estradiol (E₂) levels after 2 months, 6 months had no significant differences between the two groups and the E₂ level after 12 month of the suture group was significantly lower than that of the electro coagulation group. The levels of follicle stimulating hormone (FSH), LH, E₂, antral follicle count (AFC), mean ovarian stromal peak systolic blood flow velocity (PSV) and anti-Mullerian hormone (AMH) in the suture group were significantly superior to those in the electro coagulation group at other follow-up time. Conclusion Current evidence suggests that in treatment of ovarian endometriotic cyst by laparoscopic cystectomy, compared with electro coagulation hemostasis, suture hemostasis has less influence on ovarian reserve function. Due to limited quality and quantity of included studies, more high quality studies are needed to verify the above conclusion.

Citation： LIJing, LVJuan, WANGYu-Juan, WANGZan-hong. Influence of Various Hemostatic Methods on Ovarian Reserve Function in Women with Ovarian Endometriotic Cyst Treated by Laparoscopic Cystectomy: A Systematic Review. Chinese Journal of Evidence-Based Medicine, 2015, 15(7): 833-839. doi: 10.7507/1672-2531.20150139 Copy

1.	Pouly JL,Canis M,Velemir L.Endometriosis related infertility.Gynecol Obstet Biol Reprod,2007,36(2):151-161.
2.	冷金華,朗景和,趙學英.盆腔子宮內膜異位癥病灶分布特點及其腹腔鏡診斷準確性的評價.中華婦產科雜志,2006,41(2):111-113.
3.	Abu HH.Gonadotrophin-releasing hormone analogues and endometriosis:current strategies and new insights.Gynecological Endocrinol,2012,8(4):314-321.
4.	梁軍,曹纘孫,陳曉燕.卵巢對GnH反應性降低的預測與助孕.中國計劃生育學雜志,2000,8(8):380-384.
5.	Candiani M,Barbieri M,Bttani B,et al.Ovarian recovery after laparoscopic enucleation of ovariancysts:insights from echographic short-term postsurgical follow-up.J Minim Invasive Gynecol,2005,12(5):409-414.
6.	劉玉娟,周洪貴,諶倫華,等.腹腔鏡下卵巢囊腫剝除術后創面電凝和縫合止血對殘留卵巢儲備功能的影響.中國實用婦科與產科雜志,2013,29(1):46-48.
7.	吳春玲.腹腔鏡下卵巢子宮內膜異位囊腫剝除術不同止血方法對卵巢儲備功能的影響.中國婦幼保健,2012,27(29):4641-4643.
8.	張軍,周應芳,李斌,等.腹腔鏡下卵巢子宮內膜異位囊腫剝除術不同止血方法對卵巢儲備功能的影響.中華婦產科雜志,2009,44(8):583-587.
9.	長忠,韋德英,王飛,等.腹腔鏡卵巢內異癥囊腫剝除術中不同止血方法對卵巢儲備功能的影響.中華婦產科雜志,2013,48(1):11-15.
10.	梁軍,張順倉,楊繼,等.腹腔鏡下卵巢巧克力囊腫剝除術中兩種止血方法對卵巢功能的影響.中國實用婦科與產科雜志,2008,24(8):617-619.
11.	周婷,鄒放軍.腹腔鏡卵巢內膜異位癥囊腫剝除術中不同止血方法對卵巢儲備功能的影響及術后療效分析.中國現代手術學雜志,2013,17(5):382-385.
12.	王麗娜,崔月梅,梁珊.腹腔鏡下子宮內膜異位囊腫剝除術中采用縫合止血和單極電凝止血對卵巢功能的影響.河北醫藥,2010,32(8):929-930.
13.	周英惠,吳媛媛.腹腔鏡卵巢巧克力囊腫剝除術創面不同止血法對卵巢儲備功能的影響.中國婦幼保健,2011,26(21):3318-3320.
14.	朱彩紅,孟祥娟.腹腔鏡下卵巢巧克力囊腫剝除術中止血法對卵巢功能的影響.醫學影像學雜志,2014,24(1):152-154.
15.	張科,郭社珂.腹腔鏡下卵巢子宮內膜異位癥囊腫剝除術中兩種止血方式對卵巢儲備功能的影響.中國社區醫師,2013,15(4):51.
16.	馮蘭青,黃惠英,王明波,等.兩種止血法對卵巢子宮內膜異位囊腫剝除術后卵巢儲備功能的影響.分子診斷與治療雜志,2013,5(5):324-327.
17.	潘曉平.腹腔鏡下卵巢囊腫剝除術不同止血方法對卵巢功能影響的對照研究.中國醫師進修雜志,2012,35(3):25-27.
18.	劉繼榮.腹腔鏡雙側卵巢囊腫剝除術創面不同止血法對年輕患者性激素水平的早期影響.中華危重癥醫學雜志,2012,5(6):396-399.
19.	楊冰,何麗霞,佘遠萍,等.腹腔鏡卵巢內異癥囊腫剝除術囊內多點縫合止血法的應用價值.華夏醫學,2013,26(3):446-450.
20.	馬玲璇.腹腔鏡下電凝和縫合止血對殘留卵巢儲備功能影響的對比研究.醫學信息,2013,26(11):547.
21.	李小芳,張麗雅,朱漢紅.腹腔鏡雙側卵巢子宮內膜異位囊腫剝除術中兩種止血方式對卵巢功能的影響.廣東醫學,2011,32(23):3115-3117.
22.	Whiteside JL,Keup HL.Laparoscopic management of the ovarian mass:a practical approach.Clin Obstet Gynecol,2009,52(3):327-334.
23.	de Ziegler D,Borghese B,Chapron C.Endometriosis and infertility:pathophysiology and management.Lancet,2010,3769(9742):730-738.
24.	郎景和.腹腔鏡手術的熱點問題討論.現代婦產科進展,2004,13(12):81-85.
25.	Esinler I,Bozdag G,Aybar F,et al.Outcome of in vitro fertilization/intracytoplasmic sperm injection after laporoscopic cystectomy for endometriomas.Fertil Steril,2006,85(6):1730-1735.
26.	李傳行,王存川,徐國良,等.腹腔鏡手術超聲止血刀、電刀封閉血管的對比研究.中國內鏡雜志,2001,7(6):42-44.
27.	王揚,卞美璐,梁靜.腹腔鏡下卵巢囊腫剝除術后卵巢創面出血的處理.中國內鏡雜志,2002,8(7):39-41.
28.	Klinkert ER,Broekmam FJ,Looman CW,et al.The antral follicle count is a better marker than basal follicle-stimulating hormone for the selection of older patients with acceptable pregnancy prospects after in vitm fertilization.Fertil Steril,2005,83(3):811-814.
29.	Maneschi F,Marasa L,Incandela S,et al.Ovarian cortex surrounding benign neoplasms:a histologic study.Am J Obstet Gynecol,1993,169(2 Pt 1):388-393.
30.	Hachisuga T,Kawarabayashi T.Histopathological analysis of laparoscopically treated ovarian endometriotic cysts with special reference to loss of follicles.Hum Peprod,2002,17(2):432-435.

1. Pouly JL,Canis M,Velemir L.Endometriosis related infertility.Gynecol Obstet Biol Reprod,2007,36(2):151-161.
2. 冷金華,朗景和,趙學英.盆腔子宮內膜異位癥病灶分布特點及其腹腔鏡診斷準確性的評價.中華婦產科雜志,2006,41(2):111-113.
3. Abu HH.Gonadotrophin-releasing hormone analogues and endometriosis:current strategies and new insights.Gynecological Endocrinol,2012,8(4):314-321.
4. 梁軍,曹纘孫,陳曉燕.卵巢對GnH反應性降低的預測與助孕.中國計劃生育學雜志,2000,8(8):380-384.
5. Candiani M,Barbieri M,Bttani B,et al.Ovarian recovery after laparoscopic enucleation of ovariancysts:insights from echographic short-term postsurgical follow-up.J Minim Invasive Gynecol,2005,12(5):409-414.
6. 劉玉娟,周洪貴,諶倫華,等.腹腔鏡下卵巢囊腫剝除術后創面電凝和縫合止血對殘留卵巢儲備功能的影響.中國實用婦科與產科雜志,2013,29(1):46-48.
7. 吳春玲.腹腔鏡下卵巢子宮內膜異位囊腫剝除術不同止血方法對卵巢儲備功能的影響.中國婦幼保健,2012,27(29):4641-4643.
8. 張軍,周應芳,李斌,等.腹腔鏡下卵巢子宮內膜異位囊腫剝除術不同止血方法對卵巢儲備功能的影響.中華婦產科雜志,2009,44(8):583-587.
9. 長忠,韋德英,王飛,等.腹腔鏡卵巢內異癥囊腫剝除術中不同止血方法對卵巢儲備功能的影響.中華婦產科雜志,2013,48(1):11-15.
10. 梁軍,張順倉,楊繼,等.腹腔鏡下卵巢巧克力囊腫剝除術中兩種止血方法對卵巢功能的影響.中國實用婦科與產科雜志,2008,24(8):617-619.
11. 周婷,鄒放軍.腹腔鏡卵巢內膜異位癥囊腫剝除術中不同止血方法對卵巢儲備功能的影響及術后療效分析.中國現代手術學雜志,2013,17(5):382-385.
12. 王麗娜,崔月梅,梁珊.腹腔鏡下子宮內膜異位囊腫剝除術中采用縫合止血和單極電凝止血對卵巢功能的影響.河北醫藥,2010,32(8):929-930.
13. 周英惠,吳媛媛.腹腔鏡卵巢巧克力囊腫剝除術創面不同止血法對卵巢儲備功能的影響.中國婦幼保健,2011,26(21):3318-3320.
14. 朱彩紅,孟祥娟.腹腔鏡下卵巢巧克力囊腫剝除術中止血法對卵巢功能的影響.醫學影像學雜志,2014,24(1):152-154.
15. 張科,郭社珂.腹腔鏡下卵巢子宮內膜異位癥囊腫剝除術中兩種止血方式對卵巢儲備功能的影響.中國社區醫師,2013,15(4):51.
16. 馮蘭青,黃惠英,王明波,等.兩種止血法對卵巢子宮內膜異位囊腫剝除術后卵巢儲備功能的影響.分子診斷與治療雜志,2013,5(5):324-327.
17. 潘曉平.腹腔鏡下卵巢囊腫剝除術不同止血方法對卵巢功能影響的對照研究.中國醫師進修雜志,2012,35(3):25-27.
18. 劉繼榮.腹腔鏡雙側卵巢囊腫剝除術創面不同止血法對年輕患者性激素水平的早期影響.中華危重癥醫學雜志,2012,5(6):396-399.
19. 楊冰,何麗霞,佘遠萍,等.腹腔鏡卵巢內異癥囊腫剝除術囊內多點縫合止血法的應用價值.華夏醫學,2013,26(3):446-450.
20. 馬玲璇.腹腔鏡下電凝和縫合止血對殘留卵巢儲備功能影響的對比研究.醫學信息,2013,26(11):547.
21. 李小芳,張麗雅,朱漢紅.腹腔鏡雙側卵巢子宮內膜異位囊腫剝除術中兩種止血方式對卵巢功能的影響.廣東醫學,2011,32(23):3115-3117.
22. Whiteside JL,Keup HL.Laparoscopic management of the ovarian mass:a practical approach.Clin Obstet Gynecol,2009,52(3):327-334.
23. de Ziegler D,Borghese B,Chapron C.Endometriosis and infertility:pathophysiology and management.Lancet,2010,3769(9742):730-738.
24. 郎景和.腹腔鏡手術的熱點問題討論.現代婦產科進展,2004,13(12):81-85.
25. Esinler I,Bozdag G,Aybar F,et al.Outcome of in vitro fertilization/intracytoplasmic sperm injection after laporoscopic cystectomy for endometriomas.Fertil Steril,2006,85(6):1730-1735.
26. 李傳行,王存川,徐國良,等.腹腔鏡手術超聲止血刀、電刀封閉血管的對比研究.中國內鏡雜志,2001,7(6):42-44.
27. 王揚,卞美璐,梁靜.腹腔鏡下卵巢囊腫剝除術后卵巢創面出血的處理.中國內鏡雜志,2002,8(7):39-41.
28. Klinkert ER,Broekmam FJ,Looman CW,et al.The antral follicle count is a better marker than basal follicle-stimulating hormone for the selection of older patients with acceptable pregnancy prospects after in vitm fertilization.Fertil Steril,2005,83(3):811-814.
29. Maneschi F,Marasa L,Incandela S,et al.Ovarian cortex surrounding benign neoplasms:a histologic study.Am J Obstet Gynecol,1993,169(2 Pt 1):388-393.
30. Hachisuga T,Kawarabayashi T.Histopathological analysis of laparoscopically treated ovarian endometriotic cysts with special reference to loss of follicles.Hum Peprod,2002,17(2):432-435.

Chinese Journal of Evidence-Based Medicine

Influence of Various Hemostatic Methods on Ovarian Reserve Function in Women with Ovarian Endometriotic Cyst Treated by Laparoscopic Cystectomy: A Systematic Review

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content