Direct Proportional Relationship between Histopathologic and Sonographic Analysis of Laparoscopic Removal Ovarian Endometriotic Cyst: Evaluating the Effects on Ovarian Reserve
Journal Title: Journal of Gynecological Research and Obstetrics - Year 2017, Vol 3, Issue 1
Abstract
Background: The aim of this study was to evaluate ovarian damage following laparoscopic endometrioma cystectomy using ultrasound and pathologic samples. Materials and Methods: This is a prospective cohort study in General Women Hospital affiliated to Tehran University of Medical Sciences. 40 patients with endometrioma, total of 44 cysts including bilateral cysts, underwent laparoscopic cystectomy with stripping technique. Amount of excised parenchyma, number of lost oocytes and cyst wall fibrosis thickness were histologically studied. Before and 3 months after surgery antral follicle count was evaluated by ultrasound. Results: Mean antral follicle count (AFC) before the operation was 4 ± 1.29 and after operation was1.64 ± 1.03. The reduction in AFC after cystectomy was statistically significant (P <0.000), and with each 1 centimeter increase in cyst diameter a reduction of AFC averaging 0.421 was observed. On pathological examination, it was shown that every millimeter of inadvertently excised ovarian tissue and cyst wall fibrosis thickness leads to reduction of 1.06 and 1.2 in AFC respectively. Conclusion: Laparoscopic cystectomy for endometrioma is associated with reduction in ovarian reserve and this reduces proportionally with cyst diameter, amount of normal ovarian parenchyma excised and cyst wall fibrosis.
Authors and Affiliations
Ahmadi Farahnazsadat, Tanha Fateme Davari, Rezaee Zahra, Aleyasin Ashraf, Mehr Shahram Ejtemaei, Shirali Elham, Sarmadi Soheila, Abbasi Soleiman, Nekuie Sepideh
Keywords
Related Articles
- EP ID EP337195
- DOI 10.17352/jgro.000027
- Views 89
- Downloads 0
Use of Vaginal Misoprostol Prior to Placement of an Intrauterine Device: A Review
Intrauterine devices (IUD) are a highly effective and safe form of contraception. However, many individuals, particularly nulligravidas, elect against IUD use due to fear of pain associated with insertion. Misoprostol ha...
Assessment of Psychological Symptoms and Quality of Life among Women with Urinary Incontinence
Objective: Urinary incontinence (UI) is a common condition and a global health concern, the burden of this condition is greatest in developing countries of Asia, South America and Africa. The current study aims to assess...
The Accuracy of Prediction of Birth Weight by Automated Measurement of Fetal Long Bones Using 5D Long Bone versus VOCAL 3D and Conventional 2D Weight Formulae
Objectives: To assess the accuracy of 5D automated measurement of long bones, three dimensional VOCAL measurement of fetal thigh volume in prediction of fetal weight in comparison to the conventional two dimensional Hadl...
Lack of Association between the 4234G/C X-Ray Repair Cross-Complementing 2 (XRCC2) Gene Polymorphism and the Risk of Endometrial Cancer among Polish Population
Objective: One of the major causes of carcinogenesis is loss of genome stability. The double-strand break DNA repair pathway, including X-ray repair cross complementing group 2 (XRCC2) gene, is implicated in maintenance...
Menstrual Stem cells
Stem cells isolated from menstrual fluid have mesenchymal stem cell like properties and have multi-lineage differentiation capacity. Menstrual fluid has ease of access in collection and repeated sampling is possible in a...