Farahnazsadat Ahmadi, Fateme Davari Tanha, Zahra Rezaee, Ashraf Aleyasin, Shahram Ejtemaei Mehr, Elham Shirali, Soheila Sarmadi, Soleiman Abbasi, Sepideh Nekuie, Sara Abbasi
||Journal of Gynecological Research and Obstetrics, 2017, Vol.3 (1), pp.001-004
||Peertechz Publications Private Limited
Background: The aim of this study was to evaluate ovarian damage following laparoscopicendometrioma cystectomy using ultrasound and pathologic samples. Materials and Methods: This is a prospective cohort study in General Women Hospital affiliated toTehran University of Medical Sciences. 40 patients with endometrioma, total of 44 cysts including bilateralcysts, 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 monthsafter surgery antral follicle count was evaluated by ultrasound.Results: Mean antral follicle count (AFC) before the operation was 4 ± 1.29 and after operationwas1.64 ± 1.03. The reduction in AFC after cystectomy was statistically significant... (P <0.000), andwith each 1 centimeter increase in cyst diameter a reduction of AFC averaging 0.421 was observed. Onpathological examination, it was shown that every millimeter of inadvertently excised ovarian tissue andcyst 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 ovarianreserve and this reduces proportionally with cyst diameter, amount of normal ovarian parenchymaexcised and cyst wall fibrosis.