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Volume 59
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10.3390/medicina59010014
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Article

Using a Modified Polysaccharide as a Hemostatic Agent Results in Less Reduction of the Ovarian Reserve after Laparoscopic Surgery of Ovarian Tumors—Prospective Study

by
Rafal Moszynski
1,*,
Bartosz Burchardt
2,
Stefan Sajdak
1,
Marta Moszynska
3,
Monika Englert-Golon
1 and
Piotr Olbromski
1
1
Division of Gynecological Surgery, Department of Gynecology, Obstetrics, and Gynecological Oncology, Poznan University of Medical Sciences, 60-535 Poznan, Poland
2
Department of Forensic Medicine, Poznan University of Medical Sciences, 60-806 Poznan, Poland
3
Student Scientific Society, Poznan University of Medical Sciences, 60-806 Poznan, Poland
*
Author to whom correspondence should be addressed.
Medicina 2023, 59(1), 14; https://doi.org/10.3390/medicina59010014
Submission received: 17 November 2022 / Revised: 14 December 2022 / Accepted: 18 December 2022 / Published: 21 December 2022
(This article belongs to the Section Obstetrics and Gynecology)
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Abstract

Background and Objectives: The study investigated whether the method of achieving hemostasis affects the ovarian reserve in patients undergoing laparoscopic surgery due to ovarian tumors or cysts. Materials and Methods: Patients with unilateral tumors or ovarian cysts, who qualified for laparoscopic tumor enucleation, were randomly selected to receive modified polysaccharides or bipolar coagulation. Ovarian reserve was analyzed by anti-Mullerian hormone (AMH) level. Results: The study included 38 patients: 19 patients in the modified polysaccharide group and 19 in the bipolar coagulation group. Patients after bipolar coagulation treatment had statistically significantly lower AMH 6 months after surgery compared to the group treated with modified starch. The levels of AMH in the study and control groups were 3.96 +/− 2.12 vs. 2.51 +/− 1.39 ng/mL, respectively; p = 0.018. A statistically significant decrease in AMH was also demonstrated in the bipolar coagulation group as compared to the preoperative assessment (p = 0.049). There was no statistically significant decrease in AMH in the group of patients treated with the modified starch. Conclusions: Using a modified polysaccharide during laparoscopic cystectomy is effective and has a positive effect on the ovarian reserve compared to the use of bipolar coagulation. Both the AMH level 6 months after surgery and the percentage decrease in AMH were more favorable in the group of patients treated with modified starch.
Keywords: laparoscopy; cystectomy; hemostasis; ovarian function; starch laparoscopy; cystectomy; hemostasis; ovarian function; starch

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MDPI and ACS Style

Moszynski, R.; Burchardt, B.; Sajdak, S.; Moszynska, M.; Englert-Golon, M.; Olbromski, P. Using a Modified Polysaccharide as a Hemostatic Agent Results in Less Reduction of the Ovarian Reserve after Laparoscopic Surgery of Ovarian Tumors—Prospective Study. Medicina 2023, 59, 14. https://doi.org/10.3390/medicina59010014

AMA Style

Moszynski R, Burchardt B, Sajdak S, Moszynska M, Englert-Golon M, Olbromski P. Using a Modified Polysaccharide as a Hemostatic Agent Results in Less Reduction of the Ovarian Reserve after Laparoscopic Surgery of Ovarian Tumors—Prospective Study. Medicina. 2023; 59(1):14. https://doi.org/10.3390/medicina59010014

Chicago/Turabian Style

Moszynski, Rafal, Bartosz Burchardt, Stefan Sajdak, Marta Moszynska, Monika Englert-Golon, and Piotr Olbromski. 2023. "Using a Modified Polysaccharide as a Hemostatic Agent Results in Less Reduction of the Ovarian Reserve after Laparoscopic Surgery of Ovarian Tumors—Prospective Study" Medicina 59, no. 1: 14. https://doi.org/10.3390/medicina59010014

APA Style

Moszynski, R., Burchardt, B., Sajdak, S., Moszynska, M., Englert-Golon, M., & Olbromski, P. (2023). Using a Modified Polysaccharide as a Hemostatic Agent Results in Less Reduction of the Ovarian Reserve after Laparoscopic Surgery of Ovarian Tumors—Prospective Study. Medicina, 59(1), 14. https://doi.org/10.3390/medicina59010014

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