title: The effect of tubal sterilization with the Pomeroy technique and bipolar electrocauterization on the ovarian reserve and serum anti-Müllerian hormone levels in a rat model.
abstract: OBJECTIVE
  To investigate the effects of tubal sterilization techniques on the ovarian reserve and serum anti-Müllerian hormone (AMH) levels in rats.
  
  
  METHODS
  Wistar Hannover rats (n=21) were assigned to the following 3 groups (7 rats/group): Pomeroy technique, bipolar electrocauterization, and control. Pre- and postoperative serum AMH levels, ovarian damage and ovarian follicle counts were assessed.
  
  
  RESULTS
  Total ovarian damage was higher in the electrocauterization group than in the Pomeroy (p=0.008) and control (p<0.0001) groups. The large antral follicle count was higher in the Pomeroy group than in the electrocauterization (p=0.023) and control (p=0.003) groups. The electrocauterization group had a greater decrease in postoperative serum AMH levels than the Pomeroy and control groups (p=0.031).
  
  
  CONCLUSIONS
  Bipolar electrocauterization may have a negative effect on the ovarian structure and ovarian reserve compared to the Pomeroy technique.
authors.affiliation: Van Özalp State Hospital, Clinic of Obstetrics and Gynecology, Van, Turkey. Electronic address: drcihankaya@gmail.com.
authors.forename: Cihan
authors.initials: C
authors.lastname: Kaya
authors.affiliation: Bakırköy Dr Sadi Konuk Training and Research Hospital, Department of Pathology, Istanbul, Turkey.
authors.forename: Hürriyet
authors.initials: H
authors.lastname: Turgut
authors.affiliation: Bakırköy Dr Sadi Konuk Training and Research Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Cengiz
authors.affiliation: İstanbul University, Faculty of Health Sciences, Division of Midwifery, Istanbul, Turkey.
authors.forename: Ayşenur
authors.initials: A
authors.lastname: Turan
authors.affiliation: Bakırköy Dr Sadi Konuk Training and Research Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Ekin
authors.affiliation: Bakırköy Dr Sadi Konuk Training and Research Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Yaşar
mesh_terms: D000818:Animals; D054304:Anti-Mullerian Hormone / Q000097:blood*; D004564:Electrocoagulation; D005260:Female; D065851:Ovarian Reserve; D010053:Ovary / Q000293:injuries*; D051381:Rats; D017208:Rats, Wistar; D013246:Sterilization, Tubal / Q000009:adverse effects* / Q000379:methods
chemical_list: D054304:Anti-Mullerian Hormone
keywords: Anti-Mullerian hormone; Electrocautery; Ovarian follicle; Ovary; Pomeroy sterilization