Evidence map›Paper›PMID 41566286›Full record

Trial reportBMC women's health2026

Ovarian reserve integrated damage (ORI) model for predicting ovarian function recovery after laparoscopic ovarian cystectomy for endometriosis: a randomized controlled trial.

Ning Xu, Cuiyuan Huang, Yu Long, Yuan-Qin Gou, Meng-Xi Li, Yuan-Hong Li

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ning XuDepartment of Gynecology, Chengdu Integrated TCM&Western Medicine Hospital, Chengdu First People' s Hospital, Chengdu, Sichuan Province, 610000, China.
Cuiyuan HuangDepartment of Anaesthesiology, Chengdu Integrated TCM&Western Medicine Hospital, Chengdu First People's Hospital, Chengdu, China.
Yu LongDepartment of Gynecology, Chengdu Integrated TCM&Western Medicine Hospital, Chengdu First People' s Hospital, Chengdu, Sichuan Province, 610000, China.
Yuan-Qin GouDepartment of Gynecology, Chengdu Integrated TCM&Western Medicine Hospital, Chengdu First People' s Hospital, Chengdu, Sichuan Province, 610000, China.
Meng-Xi LiDepartment of Gynecology, Chengdu Integrated TCM&Western Medicine Hospital, Chengdu First People' s Hospital, Chengdu, Sichuan Province, 610000, China.
Yuan-Hong LiDepartment of Gynecology, Chengdu Integrated TCM&Western Medicine Hospital, Chengdu First People' s Hospital, Chengdu, Sichuan Province, 610000, China. 741576339@qq.com.

Funding

the Medical Scientific Research Project of Chengdu City Grant No. 2023625
6 · The paper itself

Abstract

backgroundLaparoscopic ovarian cystectomy for endometriosis carries a substantial risk of diminished ovarian reserve. Optimal intraoperative hemostasis remains uncertain, and predictive tools for postoperative ovarian function are limited.

methodsIn this prospective, randomized controlled trial, 101 women undergoing laparoscopic ovarian cystectomy were assigned to oxidised cellulose polymer, bipolar coagulation, or suturing for hemostasis. Primary endpoints were postoperative changes in anti-Müllerian hormone (AMH), antral follicle count (AFC), and peak systolic velocity (PSV). Two logistic regression–based Ovarian Reserve Index (ORI) models were developed: ORI-PreOp, using preoperative variables only, and ORI-PeriOp, incorporating both preoperative and intraoperative factors. The study design and reporting followed CONSORT 2010 guidelines for randomized trials and TRIPOD guidelines for prediction model development.

resultsA total of 173 patients were randomized to three hemostatic methods, with 101 completing the study. At 6 months, oxidised cellulose polymer preserved ovarian reserve more effectively than bipolar coagulation (AMH decline 5.97% vs. 19.06%; AFC decline 14.0% vs. 30.7%; PSV decline 5.3% vs. 20.0%; all P < 0.001) or suturing. The ORI-PeriOp model outperformed ORI-PreOp in predicting poor ovarian function recovery at 6 months (AUC 0.936 vs. 0.794) and 1 month (AUC 0.809 vs. 0.546). Incorporation of intraoperative variables significantly improved predictive accuracy.

conclusionsOxidised cellulose polymer offers superior preservation of ovarian reserve compared with bipolar coagulation or suturing in endometriosis-associated cystectomy. The ORI-PeriOp model provides reliable individualized risk stratification, facilitating tailored surgical planning and informed fertility counseling.

Indexed as

EndometriosisLaparoscopyOvarian CystsOvarian ReserveOvaryAdultAnti-Mullerian HormoneCellulose, OxidizedFemaleHemostasis, SurgicalHumansProspective StudiesRecovery of FunctionAnti-Mullerian HormoneCellulose, OxidizedAnti-Müllerian hormoneHemostasisOvarian cystectomyOvarian reserveOvarian reserve indexRandomized controlled trial

Identifiers

PMID41566286
PMCPMC12906080

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.