Effects of bipolar electrocoagulation hemostasis versus suture hemostasis of surface of the wound in la paro-scopic cystectomy for chocolate cyst of ovary on ovarian sexual hormones secretion

LIU Yuan-yuan; ZHAO Ren-feng

doi:10.3969/j.issn.1674-3806.2014.09.06

Abstract：Ob jective To explore the effects of bipolar electrocoagulation hemostasis versus suture hemosta -sis of surface of the wound in laparoscopic cystectomy for chocolate cyst of ovary on ovarian sexual hormones secre -tion.Methods Eighty patients with unilateral ovarian cyst who underwent laparoscopic cystectomy were randomly di -vided into two groups:bipolar electrocoagulation group and suture group ,with 40 cases in each group .Patients in bipo-lar electrocoagulation group received bipolar electrocoagulation for hemostasis ,and patients in suture group received suture for hemostasis.The serum levels of follicle stimulating hormone (FSH), luteinizing hormone(LH), estradiol (E2) were detected respectively before the operations and at 1st month,3rd month and 6th month after operation.Re-sults (1)In bipolar electrocoagulation group , compared with the levels before operation ,the E 2 level had obviously reduced , FSH and LH levels had obviously risen at the 1st month after operation , the differences had statistically sig-nificance(P<0.05);the E 2 level had slightly risen, FSH and LH levels had slightly reduced at the 3rd month after operation, the differences had statistically significance (P>0.05); the E2, FSH and LH level had returned to the levels before operations at the 6th month after operation(P>0.05).(2)In suture group, compared with the levels before operation, E2 level had reduced, FSH and LH levels had risen at the 1st month after operation, the differences had statistically significance ( P<0.05 );the E2 level had slightly risen , FSH and LH levels had slightly reduced at the 3rd month after operation, the data had no statistically significance (P>0.05); the E2, FSH and LH level had returned to the levels before operations at the 6th month after operation(P>0.05);Compared with the suture group, the bipolar electrocoagulation group had more influence on ovarian sexual hormones secretion ( P<0.05 ) .Conclusion Both of the two hemostatic methods in laparoscopic cystectomy for ovarian endometriotic cyst have effects on sexual hormones secretion ,especially electrocoagulation hemostasis has more .In most of patients the ovarian sexual hormones secretion can be recovered to normal level basically in 6 months after operation .