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      Multiple Protocols Combined with Hyperbaric Oxygen Therapy on the Maintenance of Ovarian Function in Patients After Ovarian Cystectomy

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          Abstract

          Objective

          This study aims to explore the effect of adjuvant hyperbaric oxygen therapy on ovarian function after laparoscopic ovarian cystectomy.

          Methods

          A total of 60 patients with ovarian cysts treated at our hospital from January 2018 to August 2020 were enrolled. According to the different treatment modalities, the patients were divided into the control and observation groups. Patients in both groups underwent laparoscopic ovarian cystectomy with oral administration of Chinese patent medicine Kuntai capsules after surgery. Hyperbaric oxygen therapy was added to patients in the observation group in addition to the treatment in the control group. The anti-Müllerian hormone (AMH), follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), and antral follicle count (AFC) serum levels were detected in both groups before the operation and at the first and third menstrual cycles postoperatively to evaluate ovarian function.

          Results

          At the first and third menstrual cycles after surgery, the AMH, E2, and AFC serum levels in the two groups were significantly lower than before surgery, and the FSH and LH serum levels were higher than before surgery. The differences were statistically significant ( P < 0.05). After the operation, AMH, E2, and AFC serum levels in the observation group were significantly higher than in the control group. FSH and LH serum levels were significantly lower than in the control group, and the differences were statistically significant ( P < 0.05).

          Conclusion

          For patients undergoing laparoscopic ovarian cystectomy, the adjuvant hyperbaric oxygen therapy could significantly improve the postoperative ovarian reserve function with remarkable effects.

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          Most cited references22

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          The impact of electrocoagulation on ovarian reserve after laparoscopic excision of ovarian cysts: a prospective clinical study of 191 patients.

          Chang-Zhong Li, Bo Liu, Ze-Qing Wen … (2009)
          To investigate the impact of electrocoagulation on ovarian reserve after laparoscopic excision of ovarian cysts and the possible mechanisms. A prospective study. Obstetrics and Gynecology Department of a university hospital. 191 patients with benign ovarian cysts undergoing ovarian cystectomy. Laparoscopic ovarian cystectomy using bipolar or ultrasonic scalpel electrocoagulation and laparotomic ovarian cystectomy using sutures after the excision of ovarian cysts. Follicle-stimulating hormone (FSH) assay and transvaginal ultrasound evaluating basal antral follicle number, mean ovarian diameter, and ovarian stromal blood flow velocity at day 3 of menstrual cycles 1, 3, 6, and 12 after surgery. When comparing the bipolar group and ultrasonic scalpel group with the suture group, a statistically significant increase of the mean FSH value was found in bilateral-cyst patients at 1-, 3-, 6-, and 12-month follow-up evaluations and in unilateral-cyst patients at the 1-month follow-up evaluation. Statistically significant decreases of basal antral follicle number and mean ovarian diameter were found during the 3-, 6-, 12-month follow-up evaluations as well as statistically significant decreases of peak systolic velocity at all of the follow-up evaluations. Electrocoagulation after laparoscopic excision of ovarian cysts is associated with a statistically significant reduction in ovarian reserve, which is partly a consequence of the damage to the ovarian vascular system.
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            Protective effects and mechanisms investigation of Kuntai capsule on the ovarian function of a novel model with accelerated aging ovaries

            Jinjin Zhang, Li Fang, Liangyan Shi … (2017)
            Article 0 comments Cited 20 times – based on 0 reviews     Review now
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              Comparing ovarian reserve after laparoscopic excision of endometriotic cysts and hemostasis achieved either by bipolar coagulation or suturing: a randomized clinical trial.

              Zahra Asgari, Safoura Rouholamin, Reihaneh Hosseini … (2016)
              This study aimed to compare ovarian reserve between laparoscopic suturing and bipolar coagulation techniques in women with unilateral endometrioma.
              Article 0 comments Cited 13 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Journal
                Journal ID (nlm-ta): Front Surg
                Journal ID (iso-abbrev): Front Surg
                Journal ID (publisher-id): Front. Surg.
                Title: Frontiers in Surgery
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 2296-875X
                Publication date (Electronic): 20 May 2022
                Publication date Collection: 2022
                Volume: 9
                Electronic Location Identifier: 877114
                Affiliations
                [ 1 ]Department of Obsterics and Gynecology, The Second People's Hospital of Hefei (Hefei Hospital Affiliated to Anhui Medical University) , An Hui, China
                [ 2 ]Department of Hyperbaric Oxygen, Hefei Second People’s Hospital , An Hui, China
                Author notes

                Edited by: Erol Tavmergen, Medical Faculty, Ege University, Turkey

                Reviewed by: Akmal El-Mazny, Faculty of Medicine, Cairo University, Cairo, Egypt Erbil Karaman, Yüzüncü Yıl University, Turkey

                [* ] Correspondence: Lin Sang sanglinsl2@ 123456163.com

                Speciality section: This article was submitted to Obstetrics and Gynecological Surgery, a section of the journal Frontiers in Surgery

                Article
                DOI: 10.3389/fsurg.2022.877114
                PMC ID: 9163415
                PubMed ID: 35669250
                SO-VID: 87ce0040-9568-4b31-a8e6-09fbfa47305a
                Copyright © Copyright © 2022 Yu, Qi, Lu, Fang, Li and Sang.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 16 February 2022
                Date accepted : 08 April 2022
                Page count
                Figures: 0, Tables: 3, Equations: 1, References: 22, Pages: 0, Words: 0
                Categories
                Subject: Surgery
                Subject: Original Research

                Keywords: post oophorocystectomy,ovarian reserve function,hyperbaric oxygen,anti-mullerian hormone,ovarian cystectomy
                Data availability:
                Keywords: post oophorocystectomy, ovarian reserve function, hyperbaric oxygen, anti-mullerian hormone, ovarian cystectomy

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