Comparison of Serum Anti-Mullerian Hormone-Level Changes in Single-Port Laparoscopic Endometriotic and Non-Endometriotic Ovarian Cyst Enucleations

Cabiscuelas Charmaine A.; Li Lan Ying; Seon Ki Eun; Kim Yup; Lee Jae Hoon; Nam Eun Ji; Lee Jung-Yun; Kim Sunghoon; Kim Young Tae; 김상운

doi:10.6118/jmm.21031

Comparison of Serum Anti-Mullerian Hormone-Level Changes in Single-Port Laparoscopic Endometriotic and Non-Endometriotic Ovarian Cyst Enucleations

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Comparison of Serum Anti-Mullerian Hormone-Level Changes in Single-Port Laparoscopic Endometriotic and Non-Endometriotic Ovarian Cyst Enucleations

자료유형: 학술저널

저자정보: Cabiscuelas Charmaine A. (Women’s Cancer Center Yonsei Cancer Center Department of Obstetrics and Gynecology Institute of Wom) Li Lan Ying (Women’s Cancer Center Yonsei Cancer Center Department of Obstetrics and Gynecology Institute of Wom) Seon Ki Eun (Women’s Cancer Center Yonsei Cancer Center Department of Obstetrics and Gynecology Institute of Wom)

저널정보: 대한폐경학회 대한폐경학회지 대한폐경학회지 제27권 제3호 KCI Accredited Journals

발행연도: 2021.12

수록면: 168 - 174 (7page)

DOI: 10.6118/jmm.21031

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Comparison of Serum Anti-Mullerian Hormone-Level Changes in Single-Port Laparoscopic Endometriotic and Non-Endometriotic Ovarian Cyst Enucleations

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Objectives: This study compared serum anti-Mullerian hormone (AMH) levels in endometriotic cysts (ECs) with those in non-ECs and analyzed changes thereof after single-port laparoscopic (SPL) ovarian cyst enucleation using vasopressin injection.Methods: In total, 180 patients (EC group, n = 112; non-EC group, n = 68) who underwent SPL ovarian cyst enucleation were retrospectively reviewed. Their AMH levels were checked preoperatively, on postoperative day 10 (POD10), and on postoperative month 3 (POM3). Changes in AMH levels were analyzed according to tumor type and vasopressin use.Results: The median initial and postoperative serum AMH levels in the EC group were significantly lower than those in the non-EC group (preoperation: 2.0 vs 3.8 ng/mL, P < 0.001; POD10: 1.0 vs 3.2 ng/mL, P < 0.001; POM3: 1.2 vs 3.6 ng/mL, P < 0.001). The postoperative decrease in AMH levels was higher in the EC group than the non-EC group on POD10 (0.8 vs 0.5 ng/mL, P = 0.011) but not on POM3 (0.7 vs 0.5 ng/mL, P = 0.164). Vasopressin injection during EC enucleation had no significant effect on the decrease in AMH levels on POD10 (vasopressin group vs non-vasopressin group: 1.0 vs 0.8 ng/mL, P = 0.253) and POM3 (vasopressin group vs non-vasopressin group: 1.4 vs 1.1 ng/mL, P = 0.242).Conclusions: AMH levels were lower at baseline and had higher decreasing rates after SPL surgery in the EC group relative to the non-EC group. Vasopressin injection might not protect the ovary from the postoperative decrease in AMH levels.

#Anti-Mullerian hormone #Endometrioma #Laparoscopic cystectomy #Single-port laparoscopic surgery

참고문헌 (17)

참고문헌 신청

MacGregor C / 2016 / Evaluation and management of adnexal masses / Topics Obstet Gynecol 36:7~8

Lobo RA / 2016 / Comprehensive gynecology / Elsevier :968

Yoon BS / 2014 / Impact on ovarian reserve after laparoscopic ovarian cystectomy with reduced port number : a randomized controlled trial / Eur J Obstet Gynecol Reprod Biol 176:34~38

te Velde ER / 2002 / The variability of female reproductive ageing / Hum Reprod Update 8:141~154

Yim GW / 2010 / Transumbilical single-port access versus conventional total laparoscopic hysterectomy: surgical outcomes / Am J Obstet Gynecol 203:26.e1~26.e6

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