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Impact on ovarian reserve after minimally invasive single-port laparoscopic ovarian cystectomy in patients with benign ovarian cysts: A systematic review and meta-analysis
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  • Eleni Tsiampa,
  • Eleftherios Spartalis,
  • Gerasimos Tsourouflis,
  • Dimitrios Dimitroulis,
  • Nikolaos Nikiteas
Eleni Tsiampa
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Eleftherios Spartalis
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Gerasimos Tsourouflis
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Dimitrios Dimitroulis
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Nikolaos Nikiteas
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Background/Aim: The purpose of this article is to review the published literature on single-port laparoscopic (SPL) ovarian cystectomy and to assess whether the reduced port number affects the ovarian reserve in comparison with the conventional multiport laparoscopic (MPL) ovarian cystectomy. Materials and methods: Serum anti-Müllerian hormone (AMH) had been proposed as the most accurate marker of ovarian reserve. A review of the current literature was performed based on the preoperative and postoperative AMH after SPL and MPL ovarian cystectomy in adult patients with benign ovarian cysts. Results: Ovarian cystectomy causes a non-statistically significant reduction in AMH levels four weeks postoperatively in the SPL group compared to MPL group[MD=0.11, 95%CI (-0.01, 0.24), p=0.07] . Operative time was significantly longer and blood loss was significantly higher in SPL group. No difference was found to major or overall postoperative complications between the two groups Conclusion: SPL cystectomy recommended as a safe surgical choice for patients who want to preserve their fertility.

Peer review status:UNDER REVIEW

07 Jan 2021Submitted to International Journal of Clinical Practice
11 Jan 2021Submission Checks Completed
11 Jan 2021Assigned to Editor
17 Jan 2021Reviewer(s) Assigned
17 Jan 2021Review(s) Completed, Editorial Evaluation Pending
09 Feb 20211st Revision Received
11 Feb 2021Submission Checks Completed
11 Feb 2021Assigned to Editor
03 Jun 2021Reviewer(s) Assigned
07 Jun 2021Review(s) Completed, Editorial Evaluation Pending