PMID- 28980317
OWN - NLM
STAT- MEDLINE
DCOM- 20180716
LR  - 20181202
IS  - 1879-3479 (Electronic)
IS  - 0020-7292 (Linking)
VI  - 140
IP  - 1
DP  - 2018 Jan
TI  - Systematic review and meta-analysis of the effect of bipolar electrocoagulation
      during laparoscopic ovarian endometrioma stripping on ovarian reserve.
PG  - 11-17
LID - 10.1002/ijgo.12338 [doi]
AB  - BACKGROUND: Laparoscopic stripping is the gold-standard treatment for ovarian
      endometriosis. The choice of hemostasis method might affect ovarian reserve.
      OBJECTIVES: To determine whether bipolar electrocoagulation is more detrimental
      to ovarian reserve than non-thermal hemostasis methods. SEARCH STRATEGY: Entry
      terms associated with the MeSH terms "endometrioma," "laparoscopy," and "ovarian 
      reserve" were used to search databases for articles published up to April 3,
      2017, in English, Spanish, Portuguese, French, and Italian. SELECTION CRITERIA:
      Randomized controlled trials comparing the 3-month postoperative serum
      anti-Mullerian hormone (AMH) level in premenopausal women undergoing laparoscopic
      stripping with bipolar hemostasis or non-thermal hemostasis methods were
      selected. DATA COLLECTION AND ANALYSIS: Data were extracted by two independent
      reviewers and a meta-analysis was performed. MAIN RESULTS: Three studies met the 
      inclusion criteria; overall, 105 patients underwent surgery with bipolar
      electrocoagulation and 105 patients underwent surgery with an alternative
      hemostasis method. The AMH level 3 months after surgery was decreased in the
      bipolar electrocoagulation group (mean difference -0.79 ng/mL, 95% confidence
      interval -1.19 to -0.39). CONCLUSIONS: Bipolar electrocoagulation negatively
      impacts ovarian reserve and should be avoided, especially for patients with
      reproductive goals.
CI  - (c) 2017 International Federation of Gynecology and Obstetrics.
FAU - Deckers, Paula
AU  - Deckers P
AD  - Department of Gynecology, University of Sao Paulo Medical School Hospital, Sao
      Paulo, Brazil.
FAU - Ribeiro, Sergio Conti
AU  - Ribeiro SC
AD  - Department of Gynecology, University of Sao Paulo Medical School Hospital, Sao
      Paulo, Brazil.
FAU - Simoes, Ricardo Dos Santos
AU  - Simoes RDS
AD  - Department of Gynecology, University of Sao Paulo Medical School Hospital, Sao
      Paulo, Brazil.
FAU - Miyahara, Camila Bariao da Fonseca
AU  - Miyahara CBDF
AD  - Department of Gynecology, University of Sao Paulo Medical School Hospital, Sao
      Paulo, Brazil.
FAU - Baracat, Edmund Chada
AU  - Baracat EC
AD  - Department of Gynecology, University of Sao Paulo Medical School Hospital, Sao
      Paulo, Brazil.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PT  - Systematic Review
DEP - 20171028
PL  - United States
TA  - Int J Gynaecol Obstet
JT  - International journal of gynaecology and obstetrics: the official organ of the
      International Federation of Gynaecology and Obstetrics
JID - 0210174
RN  - 80497-65-0 (Anti-Mullerian Hormone)
SB  - IM
MH  - Adult
MH  - Anti-Mullerian Hormone/blood
MH  - Electrocoagulation/*adverse effects/methods
MH  - Endometriosis/*surgery
MH  - Female
MH  - Hemostasis, Surgical/*adverse effects/methods
MH  - Humans
MH  - Laparoscopy/*adverse effects/methods
MH  - *Ovarian Reserve
MH  - Ovary/surgery
MH  - Postoperative Period
OTO - NOTNLM
OT  - Anti-Mullerian hormone
OT  - Bipolar electrocoagulation
OT  - Endometrioma
OT  - Endometriosis
OT  - Hemostasis
OT  - Laparoscopy
OT  - Ovarian reserve
OT  - Stripping
EDAT- 2017/10/06 06:00
MHDA- 2018/07/17 06:00
CRDT- 2017/10/06 06:00
PHST- 2017/04/14 00:00 [received]
PHST- 2017/08/16 00:00 [revised]
PHST- 2017/10/02 00:00 [accepted]
PHST- 2017/10/06 06:00 [pubmed]
PHST- 2018/07/17 06:00 [medline]
PHST- 2017/10/06 06:00 [entrez]
AID - 10.1002/ijgo.12338 [doi]
PST - ppublish
SO  - Int J Gynaecol Obstet. 2018 Jan;140(1):11-17. doi: 10.1002/ijgo.12338. Epub 2017 
      Oct 28.