Objective: To compare ovarian residual volume and ovarian function i.e, the effect on ovarian reserve after stripping by two different surgical techniques of cyst removal in endometrioma & to compare the preoperative anti-mullerian hormone value with the post-operative one in terms of ovarian reserve.
Design: Prospective Randomized study. Prospective randomized clinical study, comparing two different surgical techniques of laparoscopic stripping of ovarian endometrioma.
Place of study: Department of Obstetrics and Gynaecology, AIIMS, New Delhi.
Study design: Twenty-one patients who underwent excision of endometrioma. All patients underwent Laparoscopic ovarian cystectomy, by either of the two surgical techniques i. estripping and coagulation. Bilateral ovarian volumes, antral follicle counts, and D2-5 S.AMH, FSH, LH, Inhibin B Estradiol levels were analysed in 21 patients who had undergone laparoscopic cystectomy for ovarian endometrioma.
Conclusion: The study showed that ovarian cystectomy by stripping causes significant damage to ovarian reserve. But, there was no significant difference between the two surgical approaches at hilum.