Surgical technique of XXXX excision impacts on the ovarian reserve. Single-port access laparoscopy versus multiport access laparoscopy: a case control study.

@entity43 @entity1 @entity162 @entity46
UNASSIGNED: Several recent studies report the detrimental effect of @entity46 excision on the ovarian reserve. Surgical technique and the excessive use of @entity162 could be the key factors. Single-port access laparoscopy (SPAL) @entity43 has been reported as a comparable procedure to conventional laparoscopy in terms of operative outcomes. The aim of this study was to evaluate whether the single-port surgery affects the ovarian reserve whilst performing laparoscopic @entity43 for @entity46 . This was a prospective, case-control study of 99 @entity1 with @entity46 . Forty-nine @entity1 underwent single-port cystectomy and 50 @entity1 underwent multiport laparoscopic (MPL) conventional cystectomy. The primary outcome was the assessment of the ovarian reserve. We evaluated the serum anti-Mullerian hormone (AMH) levels before, 4-6 weeks and 3 months after surgery. At T2 we performed an ultrasound assessment of the antral follicular count (AFC). We have drawn attention to a statistically significant decrease of the mean AMH value and AFC in the SPAL group at the 4-6-week and 3-month follow-up compared to the conventional laparoscopy group. In conclusion, our results suggest that SPAL cystectomy should not be recommended to @entity1 undergoing surgery for @entity46 excision who want to preserve their fertility.
