Document Detail

Ovarian endometrioma: postoperative adhesions following bipolar coagulation and suture.
MedLine Citation:
PMID:  17953954     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare bipolar coagulation and suturing of the ovary in terms of postoperative ovarian adhesions after laparoscopic ovarian cystectomy for endometriosis. DESIGN: Prospective, randomized, controlled study. SETTING: Department of Obstetrics and Gynecology, University of Naples "Federico II." PATIENT(S): Thirty-two women with a single endometriotic cyst were randomly divided into two groups of 16 women each (groups A and B). INTERVENTION(S): All patients underwent laparoscopic ovarian cystectomy for endometriosis. In group A, hemostasis was performed by closure of the ovary with an intraovarian suture. In group B, complete hemostasis was achieved only with bipolar coagulation on the internal face of the ovary. MAIN OUTCOME MEASURE(S): Rate and extension of postsurgical ovarian adhesions at 60-90 days follow-up. RESULT(S): At follow-up, a significantly lower rate of postsurgical ovarian adhesions was observed in group A than in group B (30.8% vs. 57.1%). The extension of ovarian adhesions was significantly higher in group B than in group A. CONCLUSION(S): The use of sutures on ovaries treated for endometrioma is associated with a lower rate of postoperative ovarian adhesion formation compared with bipolar coagulation.
M Pellicano; S Bramante; M Guida; G Bifulco; A Di Spiezio Sardo; D Cirillo; C Nappi
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2007-10-22
Journal Detail:
Title:  Fertility and sterility     Volume:  89     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-14     Completed Date:  2008-04-29     Revised Date:  2009-01-30    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  796-9     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Naples Federico II, Naples, Italy.
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MeSH Terms
Endometriosis / pathology,  surgery*
Gynecologic Surgical Procedures* / adverse effects
Hemostasis, Surgical / methods*
Laparoscopy* / adverse effects
Light Coagulation*
Ovarian Cysts / pathology,  surgery*
Prospective Studies
Suture Techniques*
Time Factors
Tissue Adhesions / etiology,  prevention & control
Treatment Outcome
Comment In:
Fertil Steril. 2009 Jan;91(1):301-2   [PMID:  19061994 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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