rospedРоссийский педиатрический журнал имени М.Я. СтуденикинаM.Ya. Studenikin Russian Pediatric JournalФГАУ «НМИЦ здоровья детей» Минздрава России10.46563/1560-9561-2024-27-4-283-290dzuvafrosped-903Research ArticleОБЗОРЫREVIEWSГемостаз яичника и овариальный резерв: взгляд детского гинекологаOvarian hemostasis and ovarian reserve: the perspective of a pediatric gynecologisthttps://orcid.org/0000-0002-4540-6341СибирскаяЕлена ВикторовнаSibirskayaElena V.

Доктор мед. наук, проф. каф. акушерства, гинекологии и репродуктивной медицины «Российский университет медицины», проф. каф. акушерства и гинекологии им. акад. Г.М. Савельевой педиатрического факультета ФГАОУ ВО «РНИМУ им. Н.И. Пирогова» Минздрава России; зав. гинекологическим отделением ОСП РДКБ ФГАОУ ВО «РНИМУ им. Н.И. Пирогова» Минздрава России

e-mail: elsibirskaya@yandex.ru

elsibirskaya@yandex.ruhttps://orcid.org/0000-0002-6844-3321ШарковСергей МихайловичSharkovSergey M.

Доктор мед. наук., проф., руководитель городского Центра репродуктивного здоровья детей и подростков ГБУЗ «Морозовская детская городская клиническая больница» ДЗ г. Москвы; сотр. отделения ЛДО УДКГБ ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский Университет)

e-mail: sharkdoc@mail.ru

sharkdoc@mail.ruhttps://orcid.org/0000-0001-5046-9016НикифороваПолина ОлеговнаNikiforovaPolina O.

Врач гинекологического отделения РДКБ ФГАОУ ВО «РНИМУ им. Н.И. Пирогова», 119571, Москва, Россия; каф. акушерства и гинекологии им. акад. Г.М. Савельевой ПФ «РНИМУ им. Н.И. Пирогова», 117513, Москва, Россия

e-mail: pol_nikiforova@mail.ru

doctor of the Gynecological department of the Russian Chidren Clinical Hospital – Branch of the N.I. Pirogov Russian National Research Medical University, Moscow, 119571, Russian Federation; Department of Obstetrics and Gynecology named after Academician G.M. Savelyeva PF “RNIMU named after N.I. Pirogov”, 117513, Moscow, Russian Federation

e-mail: pol_nikiforova@mail.ru

pol_nikiforova@mail.ruГусароваОльга ИгоревнаGusarovaOlga I.

Студент, ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский Университет)

e-mail: olga555log@yandex.ru

olga555log@yandex.ruФГБОУ «Российский университет медицины» Минздрава России; Российская детская клиническая больница — филиал ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России; ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииRussian University of Medicine; Russian Chidren Clinical Hospital – Branch of the N.I. Pirogov Russian National Research Medical University; N.I. Pirogov Russian National Research Medical UniversityФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет); ГБУЗ «Морозовская детская городская клиническая больница» Департамента здравоохранения г. МосквыI.M. Sechenov First Moscow State Medical University; Morozovskaya Children’s City Clinical HospitalРоссийская детская клиническая больница — филиал ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России; ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииRussian Chidren Clinical Hospital – Branch of the N.I. Pirogov Russian National Research Medical University; N.I. Pirogov Russian National Research Medical UniversityФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)I.M. Sechenov First Moscow State Medical University202426092024274283290Copyright © Сибирская Е.В., Шарков С.М., Никифорова П.О., Гусарова О.И., 20242024Сибирская Е.В., Шарков С.М., Никифорова П.О., Гусарова О.И.Sibirskaya E.V., Sharkov S.M., Nikiforova P.O., Gusarova O.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rosped.ru/jour/article/view/903Введение

Введение. Все актуальные методы гемостаза, применяемые в хирургии яичников, неизбежно ведут к повреждению здоровых фолликулов. Значительная потеря овариального резерва в детском возрасте может привести к развитию преждевременной недостаточности яичников в будущем. В связи с этим в детской гинекологии особое значение приобретает выбор метода гемостаза, бережного по отношению к ткани яичника. Цель: определить эффективные методы остановки кровотечения при хирургических вмешательствах на яичнике и влияние каждого метода на овариальный резерв у детей.

Материалы и методы

Материалы и методы. Проведён поиск литературы в базах данных: PubMed, Embase, Cochrane Library с 1989 до 2024 г.

Результаты

Результаты. Установлено, что все современные методы остановки кровотечения приводят к уменьшению овариального резерва. Скорость и потенциал восстановления ткани яичника зависят не только от метода, но и от техники проведения гемостаза. Пока нет данных о различиях между коагуляционным и лигатурным методами гемостаза при работе с тканью яичников. Использование энергии для остановки кровотечения технически проще и менее затратно по времени, чем наложение шва, особенно для неопытного хирурга. Осложнения, связанные с техническими ошибками при проведении гемостаза, могут привести к значительному ухудшению резерва яичников в долгосрочной перспективе. Таким образом, оптимальный метод остановки кровотечения в каждой клинической ситуации определяется исходя из технических возможностей, навыков и предпочтений хирурга.

Заключение

Заключение. Бережное отношение к овариальному резерву в детском возрасте имеет важнейшее значение для репродуктивного здоровья пациенток в будущем. При выборе способа гемостаза важно учитывать технические возможности и навыки хирурга.

Участие авторов

Участие авторов:Сибирская Е.В. — разработка концепции и дизайна исследования, редактирование статьи;Шарков С.М. — редактирование статьи;Никифорова П.О. — анализ результатов, редактирование статьи;Гусарова О.И. — написание статьи, обзор публикаций по теме статьи, анализ полученных данных.Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.

Финансирование

Финансирование. Исследование не имело финансовой поддержки.

Конфликт интересов

Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.

Поступила 25

Поступила 25.06.2024Принята к печати 07.08.2024Опубликована 16.09.2024

Introduction

Introduction. All current methods of hemostasis used in ovarian surgery inevitably lead to damage to healthy follicles. Significant loss of ovarian reserve in childhood can lead to the development of premature ovarian insufficiency in the future. Therefore, the choice of a method of hemostasis that is most gentle on ovarian tissue becomes particularly important in pediatric gynecology.

Materials and methods

Materials and methods. Paper search and analysis was completed using the PubMed, Embase, Cochrane Library and Google Scholar databases. This literature review includes systematic reviews, cohort studies, case series, and randomized controlled trials (RCTs) from 1989 to 2024.

Results

Results. All modern methods of hemostasis lead to a decrease in the ovarian reserve. The rate and potential of ovarian tissue repair depends on the method as well as the technique of hemostasis. According to the presented data, there is no unambiguous opinion between coagulation and ligature hemostasis methods when working with ovarian tissue. Coagulation hemostasis is technically easier and less time-consuming than suturing, especially for an inexperienced surgeon. Complications associated with technical errors during hemostasis can lead to a significant deterioration of the ovarian reserve in the long-term perspective. Thus, the appropriate method of hemostasis in each clinical situation is determined according to technical capabilities, skills, and preferences of the surgeon and the operation plan.

Conclusion

Conclusion. Careful preservation of ovarian reserve in pediatric practice is of paramount importance for the future reproductive health of female patients. When choosing a method of hemostasis, it is important to take into account the technical capabilities and skills of the surgeon. Further study is needed to assess the impact of modern hemostasis methods on ovarian reserve.

Contribution

Contribution:Sibirskaya E.V. — study concept and design, editing the text;Sharkov S.M. — editing the text;Nikiforova P.O. — analysis of the results, editing the article;Gusarova O.I. — writing the text, review of publications on the topic of the article, analysis of the data obtained.All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment

Acknowledgment. The study had no sponsorship.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Received

Received: June 25, 2024Accepted: August 07, 2024Published: September 16, 2024

овариальный резервбиполярная коагуляцияультразвуковая коагуляциялазерная коагуляцияаргоноплазменная коагуляциягемостатический шовместные гемостатические препаратыovarian reservebipolar coagulationultrasound coagulationlaser coagulationargon plasma coagulationhemostatic suturetopical hemostatic agentsReferencesAdamyan L.V., Menzhinskaya I.V., Antonova A.A., Tonoyan N.M., Sukhikh G.T. Diagnostic value of autoantibodies against steroidogenic enzymes and hormones in infertile women with premature ovarian insufficiency. Int. J. Mol. Sci. 2024; 25(12): 6545. https://doi.org/10.3390/ijms2512654Adamyan L.V., Menzhinskaya I.V., Antonova A.A., Tonoyan N.M., Sukhikh G.T. Diagnostic value of autoantibodies against steroidogenic enzymes and hormones in infertile women with premature ovarian insufficiency. Int. J. Mol. Sci. 2024; 25(12): 6545. https://doi.org/10.3390/ijms2512654Bleil M.E., Gregorich S.E., Adler N.E., Sternfeld B., Rosen M.P., Cedars M.I. Race/ethnic disparities in reproductive age: an examination of ovarian reserve estimates across four race/ethnic groups of healthy, regularly cycling women. Fertil. Steril. 2014; 101(1): 199–207. https://doi.org/10.1016/j.fertnstert.2013.09.015Bleil M.E., Gregorich S.E., Adler N.E., Sternfeld B., Rosen M.P., Cedars M.I. Race/ethnic disparities in reproductive age: an examination of ovarian reserve estimates across four race/ethnic groups of healthy, regularly cycling women. Fertil. Steril. 2014; 101(1): 199–207. https://doi.org/10.1016/j.fertnstert.2013.09.015Roman H., Pura I., Tarta O., Mokdad C., Auber M., Bourdel N., et al. Vaporization of ovarian endometrioma using plasma energy: histologic findings of a pilot study. Fertil. Steril. 2011; 95(5): 1853–6.e64. https://doi.org/10.1016/j.fertnstert.2010.11.038Roman H., Pura I., Tarta O., Mokdad C., Auber M., Bourdel N., et al. Vaporization of ovarian endometrioma using plasma energy: histologic findings of a pilot study. Fertil. Steril. 2011; 95(5): 1853–6.e64. https://doi.org/10.1016/j.fertnstert.2010.11.038Zhang C., Li X., Dai Y., Gu Z., Wu Y., Yan H., et al. Risk factors associated with changes in serum anti-Müllerian hormone levels before and after laparoscopic cystectomy for endometrioma. Front. Endocrinol. (Lausanne). 2024; 15: 1359649. https://doi.org/10.3389/fendo.2024.1359649Zhang C., Li X., Dai Y., Gu Z., Wu Y., Yan H., et al. Risk factors associated with changes in serum anti-Müllerian hormone levels before and after laparoscopic cystectomy for endometrioma. Front. Endocrinol. (Lausanne). 2024; 15: 1359649. https://doi.org/10.3389/fendo.2024.1359649Ogawa S., Atsuki Y., Shimada K., Motoyama M., Suzuki T., Fujiwara H. Decrease in serum anti-Müllerian hormone level per puncture with laparoscopic ovarian drilling using ultrasonically activated device. Reprod. Med. Biol. 2021; 20(4): 460–6. https://doi.org/10.1002/rmb2.12405Ogawa S., Atsuki Y., Shimada K., Motoyama M., Suzuki T., Fujiwara H. Decrease in serum anti-Müllerian hormone level per puncture with laparoscopic ovarian drilling using ultrasonically activated device. Reprod. Med. Biol. 2021; 20(4): 460–6. https://doi.org/10.1002/rmb2.12405Moreno-Sepulveda J., Romeral C., Niño G., Pérez-Benavente A. The effect of laparoscopic endometrioma surgery on anti-Müllerian hormone: a systematic review of the literature and meta-analysis. JBRA Assist. Reprod. 2022; 26(1): 88–104. https://doi.org/10.5935/1518-0557.20210060Moreno-Sepulveda J., Romeral C., Niño G., Pérez-Benavente A. The effect of laparoscopic endometrioma surgery on anti-Müllerian hormone: a systematic review of the literature and meta-analysis. JBRA Assist. Reprod. 2022; 26(1): 88–104. https://doi.org/10.5935/1518-0557.20210060Bhide P., Pundir J., Homburg R., Acharya G. Biomarkers of ovarian reserve in childhood and adolescence: A systematic review. Acta Obstet. Gynecol. Scand. 2019; 98(5): 563–72. https://doi.org/10.1111/aogs.13574Bhide P., Pundir J., Homburg R., Acharya G. Biomarkers of ovarian reserve in childhood and adolescence: A systematic review. Acta Obstet. Gynecol. Scand. 2019; 98(5): 563–72. https://doi.org/10.1111/aogs.13574Bao S., Yin T., Liu S. Ovarian aging: energy metabolism of oocytes. J. Ovarian Res. 2024; 17(1): 118. https://doi.org/10.1186/s13048-024-01427-yBao S., Yin T., Liu S. Ovarian aging: energy metabolism of oocytes. J. Ovarian Res. 2024; 17(1): 118. https://doi.org/10.1186/s13048-024-01427-yAlviggi C., Humaidan P., Ezcurra D. Hormonal, functional and genetic biomarkers in controlled ovarian stimulation: tools for matching patients and protocols. Reprod. Biol. Endocrinol. 2012; 10: 9. https://doi.org/10.1186/1477-7827-10-9Alviggi C., Humaidan P., Ezcurra D. Hormonal, functional and genetic biomarkers in controlled ovarian stimulation: tools for matching patients and protocols. Reprod. Biol. Endocrinol. 2012; 10: 9. https://doi.org/10.1186/1477-7827-10-9Al Rashid K., Taylor A., Lumsden M.A., Goulding N., Lawlor D.A., Nelson S.M. Association of the functional ovarian reserve with serum metabolomic profiling by nuclear magnetic resonance spectroscopy: a cross-sectional study of ~ 400 women. BMC Med. 2020; 18(1): 247. https://doi.org/10.1186/s12916-020-01700-zAl Rashid K., Taylor A., Lumsden M.A., Goulding N., Lawlor D.A., Nelson S.M. Association of the functional ovarian reserve with serum metabolomic profiling by nuclear magnetic resonance spectroscopy: a cross-sectional study of ~ 400 women. BMC Med. 2020; 18(1): 247. https://doi.org/10.1186/s12916-020-01700-zLi N.J., Yao Q.Y., Yuan X.Q., Huang Y., Li Y.F. Anti-Müllerian hormone as a predictor for live birth among women undergoing IVF/ICSI in different age groups: an update of systematic review and meta-analysis. Arch. Gynecol. Obstet. 2023; 308(1): 43–61. https://doi.org/10.1007/s00404-022-06683-1Li N.J., Yao Q.Y., Yuan X.Q., Huang Y., Li Y.F. Anti-Müllerian hormone as a predictor for live birth among women undergoing IVF/ICSI in different age groups: an update of systematic review and meta-analysis. Arch. Gynecol. Obstet. 2023; 308(1): 43–61. https://doi.org/10.1007/s00404-022-06683-1Ануфриенко К.О., Чопорова Н.В. Гистологическая структура и возрастные изменения яичника. В кн.: Мировые тенденции развития науки и техники: пути совершенствования. Материалы X Международной научно-практической конференции. В 3-х частях. Часть 1. М.: Пресс-центр; 2022: 282–3. https://elibrary.ru/bqvblnAnufrienko K.O., Choporova N.V. Histological structure and age-related changes of the ovary. In: Global Trends in the Development of Science and Technology: Ways to Improve. Materials of the X International Scientific and Practical Conference. In 3 Parts. Part 1. Moscow: Press tsentr; 2022: 282–3. https://elibrary.ru/bqvbln (in Russian)Ruan X., Cheng J., Du J., Jin F., Gu M., Li Y., et al. Analysis of fertility preservation by ovarian tissue cryopreservation in pediatric children in China. Front. Endocrinol. (Lausanne). 2022; 13: 930786. https://doi.org/10.3389/fendo.2022.930786Ruan X., Cheng J., Du J., Jin F., Gu M., Li Y., et al. Analysis of fertility preservation by ovarian tissue cryopreservation in pediatric children in China. Front. Endocrinol. (Lausanne). 2022; 13: 930786. https://doi.org/10.3389/fendo.2022.930786Адамян Л.В., Сибирская Е.В., Богданова Е.А., Колтунов И.Е., Смаль Т.А., Шуткова А.Ю. Клиника и диагностика доброкачественных опухолей и опухолевидных образований яичников у девочек (аналитический обзор). Репродуктивное здоровье детей и подростков. 2016; (4): 18–26. https://elibrary.ru/wlbjmtAdamyan L.V., Sibirskaya E.V., Bogdanova E.A., Koltunov I.E., Smal` T.A., Shutkova A.Yu. Diagnosis and clinical features of ovarian benign tumors in girls and young women (analytical review). Reproduktivnoe zdorovie detey i podrostkov. 2016; (4): 18–26. https://elibrary.ru/wlbjmt (in Russian)Bowen D.K., Van Batavia J.P., Srinivasan A.K. Single-site laparoscopy and robotic surgery in pediatric urology. Curr. Urol. Rep. 2018; 19(6): 42. https://doi.org/10.1007/s11934-018-0794-zBowen D.K., Van Batavia J.P., Srinivasan A.K. Single-site laparoscopy and robotic surgery in pediatric urology. Curr. Urol. Rep. 2018; 19(6): 42. https://doi.org/10.1007/s11934-018-0794-zГасымова Д.М., Рухляда Н.Н. Овариальный резерв после ургентных гинекологических операций у женщин с осложнения­ми доброкачественных и опухолеподобных образований яичников. Проблемы репродукции. 2017; 23(2): 27–32. https://doi.org/10.17116/repro201723227-32 https://elibrary.ru/yoatlbGasymova D.M., Rukhlyada N.N. Ovarian reserve after urgent gynecological operations in women with complications of benign ovarian tumors. Problemy reproduktsii. 2017; 23(2): 27–32. https://doi.org/10.17116/repro201723227-32 https://elibrary.ru/yoatlb (in Russian)Дубинская Е.Д., Тер-Овакимян А.Э., Косаченко А.Г. Оперативная гинекология. М.; 2018. https://elibrary.ru/xoqnedDubinskaya E.D., Ter-Ovakimyan A.E., Kosachenko A.G. Operative Gynecology [Operativnaya ginekologiya]. Moscow; 2018. https://elibrary.ru/xoqned (in Russian)Тониян К.А., Духин А.О., Бояринцев В.В. Физиологические аспекты восстановления репродуктивной функции у пациенток после перенесенных острых гинекологических заболеваний. Физиология человека. 2020; 46(5): 91–9. https://doi.org/10.31857/S0131164620050136 https://elibrary.ru/xlmzrtToniyan K.A., Duxin A.O., Boyarincev V.V. Physiological aspects of the rehabilitation of the reproductive function in patients after acute gynecological diseases. Fiziologiya cheloveka. 2020; 46(5): 91–9. https://doi.org/10.1134/S0362119720050138 https://elibrary.ru/emmwrc (in Russian)Zorzato P.C., Ferrari F.A., Garzon S., Franchi M., Cianci S., Laganà A.S., et al. Advanced bipolar vessel sealing devices vs conventional bipolar energy in minimally invasive hysterectomy: a systematic review and meta-analysis. Arch. Gynecol. Obstet. 2024; 309(4): 1165–74. https://doi.org/10.1007/s00404-023-07270-8Zorzato P.C., Ferrari F.A., Garzon S., Franchi M., Cianci S., Laganà A.S., et al. Advanced bipolar vessel sealing devices vs conventional bipolar energy in minimally invasive hysterectomy: a systematic review and meta-analysis. Arch. Gynecol. Obstet. 2024; 309(4): 1165–74. https://doi.org/10.1007/s00404-023-07270-8Соломатина А.А., Хамзин И.З., Тюменцева М.Ю. Влияние современных методов гемостаза на овариальный резерв при органосохраняющих операциях на яичниках. Акушерство и гинекология: новости, мнения, обучение. 2018; (4): 45–51. https://doi.org/10.24411/2303-9698-2018-14005 https://elibrary.ru/uzlzqoSolomatina A.A., Khamzin I.Z., Tyumentseva M.Yu. Influence of modern methods of hemostasis on ovarian reserve during ovarian preservation operations. Akusherstvo i ginekologiya: novosti, mneniya, obuchenie. 2018; (4): 45–51. https://doi.org/10.24411/2303-9698-2018-14005 https://elibrary.ru/uzlzqo (in Russian)Harada T., Taniguchi F., Kitajima M., Kitawaki J., Koga K., Momoeda M., et al. Clinical practice guidelines for endometriosis in Japan (The 3rd edition). J. Obstet. Gynaecol. Res. 2022; 48(12): 2993–3044. https://doi.org/10.1111/jog.15416Harada T., Taniguchi F., Kitajima M., Kitawaki J., Koga K., Momoeda M., et al. Clinical practice guidelines for endometriosis in Japan (The 3rd edition). J. Obstet. Gynaecol. Res. 2022; 48(12): 2993–3044. https://doi.org/10.1111/jog.15416Акопов А.Л., Арулдас К.A. Ультразвуковая диссекция и коагуляция насадкой «Гармоник фокус» при анатомических резекциях лёгкого. Вестник хирургии им. И.И. Грекова. 2014; 173(1): 076–80. https://elibrary.ru/rvdtzjAkopov A.L, Aruldas K.A. Ultrasonic dissection and coagulation by attachment “harmonic focus” in anatomic resection of the lung. Vestnik khirurgii im. I.I. Grekova. 2014; 173(1): 076–80. https://elibrary.ru/rvdtzj (in Russian)Kloosterman R., Wright G.W.J., Salvo-Halloran E.M., Ferko N.C., Mennone J.Z., Clymer J.W., et al. An umbrella review of the surgical performance of Harmonic ultrasonic devices and impact on patient outcomes. BMC Surg. 2023; 23(1): 180. https://doi.org/10.1186/s12893-023-02057-9Kloosterman R., Wright G.W.J., Salvo-Halloran E.M., Ferko N.C., Mennone J.Z., Clymer J.W., et al. An umbrella review of the surgical performance of Harmonic ultrasonic devices and impact on patient outcomes. BMC Surg. 2023; 23(1): 180. https://doi.org/10.1186/s12893-023-02057-9Park S.Y., Shin M.H., Hwang Y.M., Choi Y.S., Yi J.W. Comparative analysis between ultrasonic shears versus advanced bipolar device in transoral endoscopic thyroidectomy: a randomized controlled trial. Gland Surg. 2023; 12(9): 1191–202. https://doi.org/10.21037/gs-23-227Park S.Y., Shin M.H., Hwang Y.M., Choi Y.S., Yi J.W. Comparative analysis between ultrasonic shears versus advanced bipolar device in transoral endoscopic thyroidectomy: a randomized controlled trial. Gland Surg. 2023; 12(9): 1191–202. https://doi.org/10.21037/gs-23-227Wismayer R. An audit of laparoscopic surgery in a developing country in East Africa at the beginning of a surgeon’s learning curve. Highlights Med. Med. Res. 2021; (5): 143–50. https://doi.org/10.9734/bpi/hmmr/v5/2479EWismayer R. An audit of laparoscopic surgery in a developing country in East Africa at the beginning of a surgeon’s learning curve. Highlights Med. Med. Res. 2021; (5): 143–50. https://doi.org/10.9734/bpi/hmmr/v5/2479EBaracat C.M.F., Abdalla-Ribeiro H.S.A., Araujo R.S.D.C., Bernando W.M., Ribeiro P.A. The impact on ovarian reserve of different hemostasis methods in laparoscopic cystectomy: a systematic review and meta-analysis. Rev. Bras. Ginecol. Obstet. 2019; 41(6): 400–8. https://doi.org/10.1055/s-0039-1692697Baracat C.M.F., Abdalla-Ribeiro H.S.A., Araujo R.S.D.C., Bernando W.M., Ribeiro P.A. The impact on ovarian reserve of different hemostasis methods in laparoscopic cystectomy: a systematic review and meta-analysis. Rev. Bras. Ginecol. Obstet. 2019; 41(6): 400–8. https://doi.org/10.1055/s-0039-1692697Pogorelić Z., Katić J., Mrklić I., Jerončić A., Šušnjar T., Jukić M., et al. Lateral thermal damage of mesoappendix and appendiceal base during laparoscopic appendectomy in children: comparison of the harmonic scalpel (Ultracision), bipolar coagulation (LigaSure), and thermal fusion technology (MiSeal). J. Surg. Res. 2017; 212: 101–7. https://doi.org/10.1016/j.jss.2017.01.014Pogorelić Z., Katić J., Mrklić I., Jerončić A., Šušnjar T., Jukić M., et al. Lateral thermal damage of mesoappendix and appendiceal base during laparoscopic appendectomy in children: comparison of the harmonic scalpel (Ultracision), bipolar coagulation (LigaSure), and thermal fusion technology (MiSeal). J. Surg. Res. 2017; 212: 101–7. https://doi.org/10.1016/j.jss.2017.01.014Welch A.J., Torres J.H., Cheong W.F. Laser physics and laser-tissue interaction. Tex. Heart Inst. J. 1989; 16(3): 141–9.Welch A.J., Torres J.H., Cheong W.F. Laser physics and laser-tissue interaction. Tex. Heart Inst. J. 1989; 16(3): 141–9.Stefanovic S., Sütterlin M., Gaiser T., Scharff C., Neumann M., Berger L., et al. Microscopic, macroscopic and thermal impact of argon plasma, diode laser, and electrocoagulation on ovarian tissue. In Vivo. 2023; 37(2): 531–8. https://doi.org/10.21873/invivo.13111Stefanovic S., Sütterlin M., Gaiser T., Scharff C., Neumann M., Berger L., et al. Microscopic, macroscopic and thermal impact of argon plasma, diode laser, and electrocoagulation on ovarian tissue. In Vivo. 2023; 37(2): 531–8. https://doi.org/10.21873/invivo.13111Paik H., Jee B.C. Impact of ablation versus cystectomy for endometrioma on ovarian reserve, recurrence, and pregnancy: an updated meta-analysis. Reprod. Sci. 2024; 31(5): 1429. https://doi.org/10.1007/s43032-024-01528-5Paik H., Jee B.C. Impact of ablation versus cystectomy for endometrioma on ovarian reserve, recurrence, and pregnancy: an updated meta-analysis. Reprod. Sci. 2024; 31(5): 1429. https://doi.org/10.1007/s43032-024-01528-5Al Baalharith M.M., Alsary S.A., Bin Mosa M.A., Almarzouq Y.F., Basudan S.K. Understanding the safe application of electrosurgery: A cross sectional study of surgeons in KSA. J. Taibah. Univ. Med. Sci. 2022; 18(3): 595–9. https://doi.org/10.1016/j.jtumed.2022.11.008Al Baalharith M.M., Alsary S.A., Bin Mosa M.A., Almarzouq Y.F., Basudan S.K. Understanding the safe application of electrosurgery: A cross sectional study of surgeons in KSA. J. Taibah. Univ. Med. Sci. 2022; 18(3): 595–9. https://doi.org/10.1016/j.jtumed.2022.11.008Bhatta N., Isaacson K., Flotte T., Schiff I., Anderson R.R. Injury and adhesion formation following ovarian wedge resection with different thermal surgical modalities. Lasers Surg. Med. 1993; 13(3): 344–52. https://doi.org/10.1002/lsm.1900130311Bhatta N., Isaacson K., Flotte T., Schiff I., Anderson R.R. Injury and adhesion formation following ovarian wedge resection with different thermal surgical modalities. Lasers Surg. Med. 1993; 13(3): 344–52. https://doi.org/10.1002/lsm.1900130311Di Michele S., Bramante S., Angioni S., Bernassola M., De Vita T., Iaccarino D.A., et al. Superficial peritoneal endometriosis vaporization using a CO2 Laser: a long-term single-center experience. J. Clin. Med. 2024; 13(6): 1722. https://doi.org/10.3390/jcm13061722Di Michele S., Bramante S., Angioni S., Bernassola M., De Vita T., Iaccarino D.A., et al. Superficial peritoneal endometriosis vaporization using a CO2 Laser: a long-term single-center experience. J. Clin. Med. 2024; 13(6): 1722. https://doi.org/10.3390/jcm13061722Mansouri G., Safinataj M., Shahesmaeili A., Allahqoli L., Salehiniya H., Alkatout I. Effect of laparoscopic cystectomy on ovarian reserve in patients with ovarian cyst. Front. Endocrinol. (Lausanne). 2022; 13: 964229. https://doi.org/10.3389/fendo.2022.964229Mansouri G., Safinataj M., Shahesmaeili A., Allahqoli L., Salehiniya H., Alkatout I. Effect of laparoscopic cystectomy on ovarian reserve in patients with ovarian cyst. Front. Endocrinol. (Lausanne). 2022; 13: 964229. https://doi.org/10.3389/fendo.2022.964229Candiani M., Ferrari S., Bartiromo L., Schimberni M., Tandoi I., Ottolina J. Fertility outcome after CO2 laser vaporization versus cystectomy in women with ovarian endometrioma: a comparative study. J. Minim. Invasive. Gynecol. 2021; 28(1): 34–41. https://doi.org/10.1016/j.jmig.2020.07.014Candiani M., Ferrari S., Bartiromo L., Schimberni M., Tandoi I., Ottolina J. Fertility outcome after CO2 laser vaporization versus cystectomy in women with ovarian endometrioma: a comparative study. J. Minim. Invasive. Gynecol. 2021; 28(1): 34–41. https://doi.org/10.1016/j.jmig.2020.07.014Daniilidis A., Grigoriadis G., Kalaitzopoulos D.R., Angioni S., Kalkan Ü., Crestani A., et al. Surgical management of ovarian endometrioma: impact on ovarian reserve parameters and reproductive outcomes. J. Clin. Med. 2023; 12(16): 5324. https://doi.org/10.3390/jcm12165324Daniilidis A., Grigoriadis G., Kalaitzopoulos D.R., Angioni S., Kalkan Ü., Crestani A., et al. Surgical management of ovarian endometrioma: impact on ovarian reserve parameters and reproductive outcomes. J. Clin. Med. 2023; 12(16): 5324. https://doi.org/10.3390/jcm12165324Adamyan L., Kasyan V., Pivazyan L., Isaeva S., Avetisyan J. Laser vaporization compared with other surgical techniques in women with ovarian endometrioma: a systematic review and meta-analysis. Arch. Gynecol. Obstet. 2023; 308(2): 413–25. https://doi.org/10.1007/s00404-022-06799-4Adamyan L., Kasyan V., Pivazyan L., Isaeva S., Avetisyan J. Laser vaporization compared with other surgical techniques in women with ovarian endometrioma: a systematic review and meta-analysis. Arch. Gynecol. Obstet. 2023; 308(2): 413–25. https://doi.org/10.1007/s00404-022-06799-4Ng C.H.M., Michelmore A.G., Mishra G.D., Montgomery G.W., Rogers P., Abbott J. Establishing the Australian National Endometriosis Clinical and Scientific Trials (NECST) registry: a protocol paper. Reprod. Fertil. 2023; 4(2): e230014. https://doi.org/10.1530/RAF-23-0014Ng C.H.M., Michelmore A.G., Mishra G.D., Montgomery G.W., Rogers P., Abbott J. Establishing the Australian National Endometriosis Clinical and Scientific Trials (NECST) registry: a protocol paper. Reprod. Fertil. 2023; 4(2): e230014. https://doi.org/10.1530/RAF-23-0014Молотков А.С. Эндометриоидные кисты: современная стратегия хирургического лечения. Вестник Национального медико-хирургического центра им. Н.И. Пирогова. 2022; 17(3): 116–22. https://doi.org/10.25881/20728255_2022_17_3_116 https://elibrary.ru/hlgfubMolotkov A.S. Endometrioid cysts: a modern surgical treatment strategy. Vestnik Natsionalnogo mediko-khrurgicheskogo tsentra imeni N.I. Pirogova. 2022; 17(3): 116–22. https://doi.org/10.25881/20728255_2022_17_3_116 https://elibrary.ru/hlgfub (in Russian)Gao X., Jin Y., Zhang G. Systematic review and meta-analysis: impact of various hemostasis methods on ovarian reserve function in laparoscopic cystectomy for ovarian endometriomas. Altern. Ther. Health Med. 2023; 41(06): 400–8. https://doi.org/10.1055/s-0039-1692697Gao X., Jin Y., Zhang G. Systematic review and meta-analysis: impact of various hemostasis methods on ovarian reserve function in laparoscopic cystectomy for ovarian endometriomas. Altern. Ther. Health Med. 2023; 41(06): 400–8. https://doi.org/10.1055/s-0039-1692697Xie Q., Xie Y., Shi Y., Quan X., Yang X. Impact of haemostasis methods during ovarian cystectomy on ovarian reserve: a pairwise and network meta-analysis. J. Obstet. Gynaecol. 2024; 44(1): 2320294. https://doi.org/10.1080/01443615.2024.2320294Xie Q., Xie Y., Shi Y., Quan X., Yang X. Impact of haemostasis methods during ovarian cystectomy on ovarian reserve: a pairwise and network meta-analysis. J. Obstet. Gynaecol. 2024; 44(1): 2320294. https://doi.org/10.1080/01443615.2024.2320294Riemma G., De Franciscis P., La Verde M., Ravo M., Fumiento P., Fasulo D.D., et al. Impact of the hemostatic approach after laparoscopic endometrioma excision on ovarian reserve: Systematic review and network meta-analysis of randomized controlled trials. Int. J. Gynaecol. Obstet. 2023; 162(1): 222–32. https://doi.org/10.1002/ijgo.14621Riemma G., De Franciscis P., La Verde M., Ravo M., Fumiento P., Fasulo D.D., et al. Impact of the hemostatic approach after laparoscopic endometrioma excision on ovarian reserve: Systematic review and network meta-analysis of randomized controlled trials. Int. J. Gynaecol. Obstet. 2023; 162(1): 222–32. https://doi.org/10.1002/ijgo.14621Shandley L.M., Spencer J.B., Kipling L.M., Hussain B., Mertens A.C., Howards P.P. The risk of infertility after surgery for benign ovarian cysts. J. Womens Health (Larchmt). 2023; 32(5): 574–82. https://doi.org/10.1089/jwh.2022.0385Shandley L.M., Spencer J.B., Kipling L.M., Hussain B., Mertens A.C., Howards P.P. The risk of infertility after surgery for benign ovarian cysts. J. Womens Health (Larchmt). 2023; 32(5): 574–82. https://doi.org/10.1089/jwh.2022.0385Chen S., Chen D., Wang L., Xie M. Gauze packing may be a better hemostatic method to protect ovarian reserve during laparoscopic endometrioma cystectomy than conventional hemostatic methods. Arch. Gynecol. Obstet. 2023; 308(3): 927–34. https://doi.org/10.1007/s00404-023-07088-4Chen S., Chen D., Wang L., Xie M. Gauze packing may be a better hemostatic method to protect ovarian reserve during laparoscopic endometrioma cystectomy than conventional hemostatic methods. Arch. Gynecol. Obstet. 2023; 308(3): 927–34. https://doi.org/10.1007/s00404-023-07088-4House M.G., Kim R., Tseng E.E., Kaufman R.P. Jr., Moon M.R., Yopp A., et al. Evaluating the safety and efficacy of a novel polysaccharide hemostatic system during surgery: A multicenter multispecialty prospective randomized controlled trial. Surg. Open Sci. 2024; 19: 205–11. https://doi.org/10.1016/j.sopen.2024.04.009House M.G., Kim R., Tseng E.E., Kaufman R.P. Jr., Moon M.R., Yopp A., et al. Evaluating the safety and efficacy of a novel polysaccharide hemostatic system during surgery: A multicenter multispecialty prospective randomized controlled trial. Surg. Open Sci. 2024; 19: 205–11. https://doi.org/10.1016/j.sopen.2024.04.009Pennington K.P., Dunivan G. Topical hemostatic agents at time of obstetric and gynecologic surgery. Obstet. Gynecol. 2020; 136(4): e81–9. https://doi.org/10.1097/AOG.0000000000004104Pennington K.P., Dunivan G. Topical hemostatic agents at time of obstetric and gynecologic surgery. Obstet. Gynecol. 2020; 136(4): e81–9. https://doi.org/10.1097/AOG.0000000000004104Velik-Salchner C., Tauber H., Rastner V., Pajk W., Mittermayr M., Wally D., et al. Administration of fibrinogen concentrate combined with prothrombin complex maintains hemostasis in children undergoing congenital heart repair (a long-term propensity score-matched study). Acta Anaesthesiol. Scand. 2021; 65(9): 1178–86. https://doi.org/10.1111/aas.13945Velik-Salchner C., Tauber H., Rastner V., Pajk W., Mittermayr M., Wally D., et al. Administration of fibrinogen concentrate combined with prothrombin complex maintains hemostasis in children undergoing congenital heart repair (a long-term propensity score-matched study). Acta Anaesthesiol. Scand. 2021; 65(9): 1178–86. https://doi.org/10.1111/aas.13945Сибирская Е.В., Адамян Л.В., Яцык С.П., Гераськина С.Г. Боли в животе у девочек, связанные с гинекологической патологией: ошибки диагностики и лечения. Педиатрическая фармакология. 2014; 11(4): 23–8. https://elibrary.ru/snjwfrSibirskaya E.V., Adamyan L.V., Yacyk S.P., Geras’kina S.G. Abdominal pains in girls associated with a gynecological pathology: failures of diagnosis and treatment. Pediatric pharmacology. 2014; 11(4): 23–8. https://elibrary.ru/snjwfr (in Russian)

The authors declare that there are no conflicts of interest present.