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The vasopressin injection technique for laparoscopic excision of ovarian endometrioma: a technique to reduce the use of coagulation
- Source :
- Journal of minimally invasive gynecology. 17(2)
- Publication Year :
- 2009
-
Abstract
- Study Objective To estimate the efficacy of the vasopressin injection technique for laparoscopic cystectomy of ovarian endometriomas with regard to operative time and coagulation events. Design Prospective study (Canadian Task Force Classification II-1) Setting Osaka Central Hospital in Osaka, Japan Patients Fifteen women with single lobular similarly-sized ovarian endometrioma. Interventions Women who planned to undergo laparoscopic cystectomy of endometrioma were allocated randomly to 3 groups: (1) ordinary laparoscopic cystectomy without injection, (2) laparoscopic cystectomy with the injection of saline solution, and (3) laparoscopic cystectomy with the vasopressin injection technique. Measurements and Main Results Reviewing the video, we counted the number of pinpoint bipolar coagulations on the normal ovarian cortex that were required from the beginning of stripping until hemostasis had been achieved, as well as the times required to achieve hemostasis. The group with the vasopressin injection technique required significantly fewer coagulation events (p=.041) to achieve hemostasis, as compared with the group receiving an ordinary cystectomy. Conclusion The vasopressin injection technique reduces the use of coagulation, in such a way as to suggest the possibility to protect ovarian reserves.
- Subjects :
- Adult
medicine.medical_specialty
Ovarian Cortex
Vasopressins
medicine.medical_treatment
Endometriosis
Injections, Intralesional
Hemostatics
Cystectomy
medicine
Humans
Ovarian Diseases
Prospective Studies
Ovarian reserve
Laparoscopy
Prospective cohort study
medicine.diagnostic_test
business.industry
Dissection
Obstetrics and Gynecology
medicine.disease
Hemostasis, Surgical
Surgery
Treatment Outcome
Hemostasis
Ovarian Endometriosis
Female
business
Subjects
Details
- ISSN :
- 15534650
- Volume :
- 17
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of minimally invasive gynecology
- Accession number :
- edsair.doi.dedup.....f270b39c7cb1bd5c4df7252ff8909510