title: Bipolar electrocoagulation versus suture of solitary ovary after laparoscopic excision of ovarian endometriomas.
abstract: OBJECTIVE
  To compare the functional ovarian damage associated with the use of bipolar coagulation versus ovarian suture after laparoscopic excision of ovarian endometriomas in patients with a solitary ovary.
  
  
  METHODS
  Retrospective study (Canadian Task Force classification II-3).
  
  
  METHODS
  Tertiary care center.
  
  
  METHODS
  Forty-seven consecutive women with a single ovary and regular menses who underwent laparoscopic stripping of one or more ovarian endometriomas between June 1996 and June 2001. Intervention. Twenty-one patients had bipolar electrocoagulation (group A), while 26 had suturing of the ovary (group B). Plasma follicle-stimulating hormone (FSH) and estradiol levels were determined before surgery and re-evaluated at 3-, 6-, and 12-month follow-up.
  
  
  RESULTS
  At 12-month follow-up, six patients (29%) in group A had oligo-amenorrhea versus three patients (12%) in group B (p = .14). Follicle-stimulating hormone levels between 10 and 20 mlU/mL were found in five patients (24%) in group A and in three patients (12%) in group B, whereas FSH levels above 20 mlU/mL were found in three patients (14%) in group A and in no patient in group B. Eight patients (38%) in group A had FSH levels greater than 10 mlU/mL versus three patients (12%) in group B (p = .042). Overall, repeated analysis of variance showed a marginally significant difference (p = .06) in FSH values between the two groups.
  
  
  CONCLUSIONS
  Our results suggest that bipolar electrocoagulation of the ovarian parenchyma after laparoscopic stripping of an endometriotic ovarian cyst adversely affects ovarian function.
authors.affiliation: Clinica Ostetrico-Ginecologica dell'Università di Verona, Policlinico Borgoroma, Verona, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Fedele
authors.forename: Stefano
authors.initials: S
authors.lastname: Bianchi
authors.forename: Giovanni
authors.initials: G
authors.lastname: Zanconato
authors.forename: Valentino
authors.initials: V
authors.lastname: Bergamini
authors.forename: Nicola
authors.initials: N
authors.lastname: Berlanda
mesh_terms: D000328:Adult; D004564:Electrocoagulation; D004715:Endometriosis / Q000601:surgery*; D004958:Estradiol / Q000097:blood; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood; D006801:Humans; D010048:Ovarian Cysts / Q000601:surgery*; D010049:Ovarian Diseases / Q000601:surgery*; D010053:Ovary / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D013536:Suture Techniques
chemical_list: D004958:Estradiol; D005640:Follicle Stimulating Hormone