Ovarian endometrioma: postoperative adhesions following bipolar coagulation and suture.
OBJECTIVE
To compare bipolar coagulation and suturing of the ovary in terms of postoperative ovarian adhesions after laparoscopic ovarian cystectomy for endometriosis.


METHODS
Prospective, randomized, controlled study.


METHODS
Department of Obstetrics and Gynecology, University of Naples "Federico II."


METHODS
Thirty-two women with a single endometriotic cyst were randomly divided into two groups of 16 women each (groups A and B).


METHODS
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.


METHODS
Rate and extension of postsurgical ovarian adhesions at 60-90 days follow-up.


RESULTS
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.


CONCLUSIONS
The use of sutures on ovaries treated for endometrioma is associated with a lower rate of postoperative ovarian adhesion formation compared with bipolar coagulation.
Pellicano
M
M
Department of Obstetrics and Gynecology, University of Naples Federico II, Naples, Italy.
Bramante
S
S
Guida
M
M
Bifulco
G
G
Di Spiezio Sardo
A
A
Cirillo
D
D
Nappi
C
C
D000328:Adult; D004715:Endometriosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D008028:Light Coagulation; D010048:Ovarian Cysts / Q000473:pathology / Q000601:surgery*; D011446:Prospective Studies; D013536:Suture Techniques; D013997:Time Factors; D000267:Tissue Adhesions / Q000209:etiology / Q000517:prevention & control; D016896:Treatment Outcome