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.