OVER CERRAHİSİ SONRASI OVER REZERVİ ÜZERİNE OLAN ETKİLERİN FARKLI KİST TİPLERİ AÇISINDAN DEĞİŞİKLİK ARZ EDİP ETMEDİĞİNİN ARAŞTIRILMASI
Project no. 128 · Status: Kapanmış · 2017
Summary
The aim of our study is to compare the effect of laparoscopic ovarian cystectomy on ovarian reserve in terms of different cyst types. Participants who will be treated surgically for ovarian cysts between 2018-2020 were included in our study. AMH and FSH levels of the participants were investigated before the surgery and 6 months after the surgery. All surgeries were performed under general anesthesia laparoscopically. After histopathological evaluation, the participants were divided into three groups; Group 1: Endometrioma, Group 2: Mature cystic teratoma (Dermoid cyst) and Group 3: Serous or mucinous cystadenoma. A total of fifty-one women were included in the study. There was no significant difference between the groups in terms of age, gravida and parity. No significant difference was found between the groups in terms of peri-operative findings as operation time, intraoperative blood loss, postoperative hemoglobin decreases and maximum cyst diameter. There was no significant difference between the groups in terms of pre-operative AMH (p = 0.97) and pre-operative FSH (p = 0.22) values. Post-operative AMH values in endometrioma (p <0.001) and dermoid cyst (p = 0.004) groups were significantly low compared to pre-operative AMH values. Pre- and post-operative AMH reduction was found to be more pronounced in the endometriosis group compared to the other groups. The post-operative FSH levels in all groups tended to increase compared to pre-operative levels, but the increase did not reach a significant level (p = 0.092). Laparoscopic cystectomy performed to remove endometrioma and dermoid cysts significantly reduce OR. Laparoscopic cystectomy for serous-mucinous cysts does not affect OR.