الفهرس | Only 14 pages are availabe for public view |
Abstract This study was performed to compare between two approaches, laparoscopic and laparotomic ovarian cystectomy and evaluate their effect on ovarian reserve using antimüllerian hormone as the most reliable marker of ovarian reserve. Sixty-four women with ovarian cysts whether unilateral or bilateral, endometrioma and nonendometrioma presented with various symptoms and tend to have ovarian cystectomy were employed in this study, thirty- two underwent laparoscopic ovarian cystectomy while the other thirty- two patients underwent open ovarian cystectomy. Diagnosis of the presence of the cyst was based on vaginal ultrasonography and pre and post operative blood sample was taken and stored till all samples were completed and assayed using ELISA kits to detect the level of AMH pre and post operative. All recruited women who fulfilled the inclusion criteria which were women in the reproductive period (age 18-40 years), Women with unilateral or bilateral benign ovarian cysts, menstrual cycles (21-35 days), No evidence of other endocrinal diseases e.g. thyroid dysfunction, hyperprolactinemia or Cushing s disease and Women not receiving oral contraceptives, GnRH analogues, progestins or danazol in the preceding 3 months were scheduled to undergo either laparoscopic or open ovarian cystectomy after full history taking, general, abdominal and pelvic examination and ultrasonographic assessment. the specimen was obtained and sent for histopathological examination to confirm the diagnosis and count number of follicles in the cyst wall. One month later another blood sample was taken for assaying as described before. |