Hemostatic effect of simultaneous water cooling electrocoagulation hemostasis method and suture hemostasis method on elderly laparoscopic ovarian cystectomy and influence on sex hormones levels
Guo Fangshu
Shi Huilian
Abstract：Objective To compare the hemostatic effect of synchronous water cooling electrocoagulation hemostasis method and suture hemostasis method on elderly patients with laparoscopic ovarian cystectomy and the influence on levels of sex hormones.Methods The clinical data of 60 elderly patients undergoing laparoscopic ovarian cystectomy in the hospital from January 2020 to December 2022 were retrospectively analyzed.According to the intraoperative hemostasis method,the patients were divided into control group(suture hemostasis method,n= 30)and observation group(simultaneous water cooling electrocoagulation hemostasis method,n=30).The postoperative related indicators were recorded in the two groups of patients,and the stress response indicators,sex hormones levels and occurrence of complications were compared between the two groups of patients.Results There were no statistically significant differences in cyst diameter,surgical time and postoperative exhaust time between the two groups(P>0.05).The observation group had less intraoperative blood loss and shorter hospital stay than the control group,with statistically significant differences(P>0.05).The levels of norepinephrine(NE),adrenocorticotropic hormone(ACTH)and cortisol(Cor)in observation group after surgery were lower than those in control group(P>0.05).The differences in the levels of estradiol(E2),luteinizing hormone(LH)and follicle stimulating hormone(FSH)were not statistically significant between the two groups at 1 month after surgery(P>0.05).There were no statistical differences in the postoperative complications between the two groups(P>0.05).Conclusion Compared with suture hemostasis method,the application of synchronous water cooling electrocoagulation hemostasis method during laparoscopic ovarian cystectomy of the elderly has better hemostatic effect,and it is more conducive to the postoperative recovery of patients,and can better relieve the surgical stress of patients.The influence of synchronous water cooling electrocoagulation hemostasis method on the sex hormones levels of patients is close to that of suture hemostasis method,and the former one has a certain safety.
Keywords：Simultaneous water cooling electrocoagulation hemostasis methodSuture hemostasis methodLaparoscopic surgeryOvarian cystectomy
Publication Date：2023-10-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 549-552 )