Discussion
Laparoscopic cystectomy is the gold standard for managing benign ovarian cystic tumors26. Electrocoagulation using bipolar current is commonly employed for achieving ovarian hemostasis during surgery. The potential impact of various hemostatic techniques on ovarian reserves has become topic of concern. Previous systematic reviews 13, 27discovered a significant reduction in postoperative ovarian reserve when comparing electrocoagulation with nonthermal hemostatic methods three months after laparoscopic surgery for endometrioma. In our meta-analysis, we included studies on not only endometriomas but also other benign ovary cysts undergoing laparoscopic cystectomy. We also searched for the latest relevant studies until 2022.