Farklı tip over kistlerinde laparoskopik kistektomi sonrasında overyan rezervin değerlendirilmesi

Abstract

Laparoscpic excision in the treatment of ovarian cysts is used increasingly and accepted among gynecological surgeons. However, there is no adequate data of the side effects of this surgical procedure on the residuel ovarian parenchyma. The aim of our study is to determine the effects of laparoscopic ovarian cystectomy on the ovarian reserve parameters in different types of ovarian cysts. Sixty-one patients between the ages of 15-45 underwent laparoscopic surgery for benign ovarian cysts and 61 patients who were followed up for ovarian cysts were included in the study. Thirty patients who voluntarily accepted to participate in the study, with regular menstural periods, without premenopausal symptoms, did not have any endocrine pathology and did not have premature ovarian failure (POF) history were included in the study.Preoperative period on the 3rd day of menstruation FSH, LH, E2 AMH, CA 125,CA19-9 and were measured; also basal antral follicle in both ovaries were evaluated with transvaginal or transabdominal ultrasonography. Postoperative period on the 1st and 6th month, patients were called for control; hormone profile that includes FSH, LH, E2, AMH CA125 and CA19-9 were measured and AFS were counted by transvaginal or transabdominal ultrasonography on the 3rd day of menstruation. There was no statistically significant difference in AMH levels, however there was a statistically significant decrease in AFS in the group that operated for endometrioma.

Laparoscpic excision in the treatment of ovarian cysts is used increasingly and accepted among gynecological surgeons. However, there is no adequate data of the side effects of this surgical procedure on the residuel ovarian parenchyma. The aim of our study is to determine the effects of laparoscopic ovarian cystectomy on the ovarian reserve parameters in different types of ovarian cysts. Sixty-one patients between the ages of 15-45 underwent laparoscopic surgery for benign ovarian cysts and 61 patients who were followed up for ovarian cysts were included in the study. Thirty patients who voluntarily accepted to participate in the study, with regular menstural periods, without premenopausal symptoms, did not have any endocrine pathology and did not have premature ovarian failure (POF) history were included in the study.Preoperative period on the 3rd day of menstruation FSH, LH, E2 AMH, CA 125,CA19-9 and were measured; also basal antral follicle in both ovaries were evaluated with transvaginal or transabdominal ultrasonography. Postoperative period on the 1st and 6th month, patients were called for control; hormone profile that includes FSH, LH, E2, AMH CA125 and CA19-9 were measured and AFS were counted by transvaginal or transabdominal ultrasonography on the 3rd day of menstruation. There was no statistically significant difference in AMH levels, however there was a statistically significant decrease in AFS in the group that operated for endometrioma.