Gynecology and Minimally Invasive Therapy

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 8  |  Issue : 3  |  Page : 101--105

Ovarian cystectomy: Stitching or cauterizing – A comparison study of anti-mullerian hormone level pre- and postoperatively


Eddy Hartono, Edwin Budipramana, Nusratuddin Abdullah, Telly Tessy 
 Department of Obstetrics and Gynecology, Reproductive Medicine Division, Faculty of Medicine Hasanuddin University/Dr. Wahidin Sudirohusodo Hospital, Makassar, Indonesia; The International Society for Gynaecologic Endoscopy Board Member 2017-2021, Indonesia

Correspondence Address:
Dr. Eddy Hartono
AP Pettarani, IDI Complex Block G 9/8, Makassar
Indonesia

Objective: This study aimed to analyze the influence of laparoscopic management in an ovarian cyst as measured by serum anti-Mullerian hormone (AMH) levels, by comparing cautery and suturing techniques. Subjects and Methods: This prospective cohort study was conducted in the Department of Obstetrics and Gynecology, Faculty of Medicine Hasanuddin University/Dr. Wahidin Sudirohusodo Hospital, and several private hospitals in Makassar, Indonesia, from January 1, 2016, to January 31, 2018. A total sample of 90 subjects diagnosed with ovarian cysts underwent cystectomy by laparoscopy. Serum AMH level was examined in all participants both preoperatively and 1-month postoperatively. Participants were divided into two groups based on cautery and suturing techniques used in the surgery. Serum AMH levels obtained were statistically analyzed and compared between cautery and suturing groups. P < 0.05 was considered statistically significant. Results: The research result indicated a significant decrease of AMH level in each sample groups using cautery and suturing techniques; however, it was not significantly different if both methods were statistically compared (mean AMH: 1.13 ± 0.34 and 1.02 ± 0.15, with P> 0.05). Both the groups showed a greater decrease with a significant result in endometriotic cyst type and when adhesion was present during laparoscopy (P < 0.05). Other parameters such as unilateral/bilateral cyst and variety of cyst size were not showing significant differences (P > 0.05). Conclusions: This study showed that serum AMH levels clearly decreased after operative laparoscopy for different types of ovarian cysts in female patients; however, there is no significant difference regardless of surgical procedures.


How to cite this article:
Hartono E, Budipramana E, Abdullah N, Tessy T. Ovarian cystectomy: Stitching or cauterizing – A comparison study of anti-mullerian hormone level pre- and postoperatively.Gynecol Minim Invasive Ther 2019;8:101-105


How to cite this URL:
Hartono E, Budipramana E, Abdullah N, Tessy T. Ovarian cystectomy: Stitching or cauterizing – A comparison study of anti-mullerian hormone level pre- and postoperatively. Gynecol Minim Invasive Ther [serial online] 2019 [cited 2019 Sep 17 ];8:101-105
Available from: http://www.e-gmit.com/article.asp?issn=2213-3070;year=2019;volume=8;issue=3;spage=101;epage=105;aulast=Hartono;type=0