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Ghafarnejad M, Akrami M, Davari-Tanha F, et al. Vasopressin Effect on Operation Time and Frequency of Electrocauterization during Laparoscopic Stripping of Ovarian Endometriomas: A Randomized Controlled Clinical Trial. J Reprod Infertil. 2014;15(4):199-204
Ghafarnejad, M., Akrami, M., Davari-Tanha, F., Adabi, K., & Nekuie, S. (2014). Vasopressin Effect on Operation Time and Frequency of Electrocauterization during Laparoscopic Stripping of Ovarian Endometriomas: A Randomized Controlled Clinical Trial. Journal of reproduction & infertility, 15(4), 199-204.
Ghafarnejad, Marzieh, et al. "Vasopressin Effect on Operation Time and Frequency of Electrocauterization during Laparoscopic Stripping of Ovarian Endometriomas: A Randomized Controlled Clinical Trial." Journal of reproduction & infertility vol. 15,4 (2014): 199-204.
Ghafarnejad M, Akrami M, Davari-Tanha F, Adabi K, Nekuie S. Vasopressin Effect on Operation Time and Frequency of Electrocauterization during Laparoscopic Stripping of Ovarian Endometriomas: A Randomized Controlled Clinical Trial. J Reprod Infertil. 2014 Oct;15(4):199-204. PMID: 25473628; PMCID: PMC4227977.
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J Reprod Infertil. 2014 Oct;15(4):199-204.

Vasopressin Effect on Operation Time and Frequency of Electrocauterization during Laparoscopic Stripping of Ovarian Endometriomas: A Randomized Controlled Clinical Trial.

Journal of reproduction & infertility

Marzieh Ghafarnejad, Mina Akrami, Fatemeh Davari-Tanha, Khadijeh Adabi, Sepideh Nekuie

Affiliations

  1. Department of Obstetrics and Gynecology, Women Hospital, Tehran University of Medical Sciences, Tehran, Iran.
  2. Women Hospital, Tehran University of Medical Sciences, Tehran, Iran.

PMID: 25473628 PMCID: PMC4227977

Abstract

BACKGROUND: The purpose of this study was to assess the vasopressin effect on operation time and the need for electrocauterization frequency and ovarian reserve during laparoscopic stripping of ovarian endometriomas.

METHODS: This was a randomized prospective clinical trial, in which twenty patients between 18-35 years with unilateral endometriomas were randomly divided in two groups of cases and controls. Laparoscopic cystectomy was performed by hydrodissection and stripping method in both groups with diluted vasopressin injected in cases, in comparison to only saline injection in controls. Ovarian hemostasis was achieved by bipolar electrocoagulation. The operation time and frequency of electrocoagulation were compared between two groups. The ovarian reserve was determined by ultrasound examination and laboratory assessment one month before and two months after surgery in two groups. Non parametric data was analyzed by Mann-Whitney test. The p-value less than 0.05 was considered statistically significant.

RESULTS: The operation time was less in cases than control group, but the difference was not statistically significant (p=0.065). The frequency of electrocoagulation for hemostasis was less in cases than controls but this difference was not statistically significant (p=0.132). The antral follicle count decreased in both groups two months later, while no significant difference was found between two groups.

CONCLUSION: This study shows that diluted vasopressin decreases operation time and electrocauterization frequency during laparoscopic stripping of ovarian endometriomas; however, the difference between case and control group is not statistically significant.

Keywords: Electrocoagulation; Endometriosis; Laparoscopy; Vasopressin

References

  1. Fertil Steril. 2011 Jan;95(1):170-5 - PubMed
  2. Hum Reprod. 2010 Mar;25(3):678-82 - PubMed
  3. Hum Reprod. 2002 Feb;17(2):432-5 - PubMed
  4. Fertil Steril. 2012 Sep;98(3):556-63 - PubMed
  5. Hum Reprod. 2005 Nov;20(11):3000-7 - PubMed
  6. Am J Obstet Gynecol. 1999 Mar;180(3 Pt 1):519-23 - PubMed
  7. J Am Assoc Gynecol Laparosc. 2004 Aug;11(3):344-7 - PubMed
  8. Hum Reprod. 2009 Jun;24(6):1402-6 - PubMed
  9. Am J Obstet Gynecol. 2004 Jul;191(1):68-72 - PubMed
  10. Hum Reprod. 2005 Jul;20(7):1987-92 - PubMed
  11. Obstet Gynecol. 1996 Jun;87(6):1014-8 - PubMed
  12. Arch Gynecol Obstet. 2009 Jul;280(1):161-5 - PubMed
  13. Fertil Steril. 2004 Dec;82(6):1633-7 - PubMed
  14. J Minim Invasive Gynecol. 2010 Mar-Apr;17(2):176-9 - PubMed
  15. Fertil Steril. 2002 Mar;77(3):609-14 - PubMed
  16. J Minim Invasive Gynecol. 2009 Mar-Apr;16(2):224-6 - PubMed
  17. Hum Reprod. 2010 Jun;25(6):1428-32 - PubMed
  18. Hum Reprod. 2010 Mar;25(3):672-7 - PubMed
  19. J Am Assoc Gynecol Laparosc. 1994 Nov;2(1):83-6 - PubMed
  20. J Minim Invasive Gynecol. 2012 Nov-Dec;19(6):722-30 - PubMed
  21. J Minim Invasive Gynecol. 2006 May-Jun;13(3):190-4 - PubMed
  22. Am J Obstet Gynecol. 2003 Mar;188(3):606-10 - PubMed
  23. Fertil Steril. 2011 Jun;95(7):2247-50 - PubMed
  24. Can J Anaesth. 2005 May;52(5):552-3 - PubMed
  25. Arch Gynecol Obstet. 2011 Feb;283(2):373-8 - PubMed
  26. Hum Reprod. 1996 Mar;11(3):641-6 - PubMed
  27. Fertil Steril. 1996 Sep;66(3):478-80 - PubMed
  28. J Clin Anesth. 2001 Nov;13(7):509-13 - PubMed
  29. Fertil Steril. 1998 Dec;70(6):1176-80 - PubMed
  30. Fertil Steril. 2010 Jun;94(1):71-7 - PubMed
  31. J Minim Invasive Gynecol. 2010 Sep-Oct;17(5):641-5 - PubMed

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