Oxidized cellulose polymer outperforms traditional hemostasis in preserving ovarian reserve during LESS cystectomy: a prospective comparative study.

In contrast to the marked differences observed in endometriosis patients, those with benign ovarian cysts demonstrated that the oxidized cellulose polymer group maintained superior ovarian function preservation (as evidenced by AMH levels, AFC, and PSV) compared to the bipolar coagulation group, though the advantage over suturing did not reach statistical significance ( P > 0.05).

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This reduction was significantly smaller than that in bipolar coagulation group (0.29, 95% CI 0.23–0.42; P < 0.001) and showed a favorable trend compared to the suture group (0.20, 95% CI 0.11–0.25; P = 0.166; Table 4 , Fig. 2 ).

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Although hemostasis time did not differ statistically ( P = 0.09), suturing showed a trend toward prolonged duration (median 9.5 [7.25–12.75] min).

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