The way of ovarian parenchymal bed hemostasis following ovarian cystectomy is crucial for ovarian reserve protection, and discussions about different techniques on this issue are ongoing.To get more news about combat gauze, you can visit rusuntacmed.com official website.

Multiport laparoscopic surgery is the standard method for ovarian surgeries, but laparoendoscopic single-site cystectomy became popular in the treatment of benign ovarian conditions. Studies which evaluated the impact of different hemostasis technique on ovarian reserve following laparoendoscopic single-site ovarian cystectomy were limited.

Park and colleagues used coagulation and hemostatic agent during the laparoendoscopic single-site ovarian cystectomy procedure, and authors investigated the effect of these techniques on operative outcomes and ovarian reserve.

Operation duration, estimated blood loss, hospitalization period, hemostasis time, and additional suturing for inadequate hemostasis did not show a significant difference between groups. In addition, if the cyst pathology is not endometrioma, AMH level, hemoglobin level, and ovarian volume between preoperative period, postoperative 2nd day, postoperative 1st week, and postoperative 3rd months, were similar.

In contrast, Park et al. stated that a decrease in AMH ratio was significantly higher at 3rd month after surgery in patients with endometriosis who achieved hemostasis with coagulation.

The authors concluded that the use of oxidized cellulose polymer for hemostasis should be considered during if there is a suspect for endometriosis, especially in reproductive-age women during laparoendoscopic single-site cystectomy.