Principal findings
As demonstrated in the Results section, our study found no significant
difference in long-term follow-up of postoperative AMH and AFC levels
between the two groups when focusing on benign ovarian cysts. In
contrast, the significant difference in postoperative AMH and AFC
between the two groups is consistent with previous systemic
reviews13, 28 for patients with endometrioma. Such
findings favor using nonthermal hemostatic methods over
electrocoagulation using bipolar current when considering ovarian
reserve for patients with endometrioma. However, this benefit is reduced
for other benign ovarian cysts. The findings might prove that nonthermal
hemostatic methods are less destructive in maintaining the cortical
blood supply in the residual ovaries and retaining the ovarian function
during laparoscopic ovarian cystectomy for endometrioma.