Dergiler / GORM:Gynecology Obstetrics & Reproductive Medicine / 1997 / Cilt: 3 - Sayı: 3
Polikistik overli hastalarda laparoskopik drilling ve adezyon oluşumu
- Sayfa
- 433–435
- DOI
- —
Özet
OBJECTIVE: To assess adhesion formation after bilateral laparoscopic ovarian electrocoagulation in infertility patients with polycystic ovarian disease (PCOD). STUDY DESIGN: A prospective study was performed between 1994 and 1995, 40 patients with polycystic ovarian disease underwent laparoscopic drilling'of the ovarian surface in our endocrinology and infertility clinic. All patients were referred our clinic from the hospital outpatients clinic. Fourty consecutive women, whom anovulatory infertility with polycystic ovarian reaction to hormonal stimulation therapy underwent laparoscopic electrocoagulation of the ovarian surface. RESULTS: Adhesion formation occurred approximately 45% the incidence reduced 26% with the use of abdominal irrigation. The adhesion fotind were obviously because of the bleeding of the ovarian capsule caused by drilling. During early 7-10 days second-look laparoscopy, adhesiolysis was possible. CONCLUSION: Adhesion formation caused by laparoscopic electrodrilling of the ovary is lower than other surgical treatment of ovary. It can be diminished by irrigation of abdominal cavity. Also ovarian diatermi is very effective, cheaper.easier, treatment for the PCOD patients. (Gynecol Obstet Reprod Med 1997; 3:433-435) .
Abstract
OBJECTIVE: To assess adhesion formation after bilateral laparoscopic ovarian electrocoagulation in infertility patients with polycystic ovarian disease (PCOD). STUDY DESIGN: A prospective study was performed between 1994 and 1995, 40 patients with polycystic ovarian disease underwent laparoscopic drilling'of the ovarian surface in our endocrinology and infertility clinic. All patients were referred our clinic from the hospital outpatients clinic. Fourty consecutive women, whom anovulatory infertility with polycystic ovarian reaction to hormonal stimulation therapy underwent laparoscopic electrocoagulation of the ovarian surface. RESULTS: Adhesion formation occurred approximately 45% the incidence reduced 26% with the use of abdominal irrigation. The adhesion fotind were obviously because of the bleeding of the ovarian capsule caused by drilling. During early 7-10 days second-look laparoscopy, adhesiolysis was possible. CONCLUSION: Adhesion formation caused by laparoscopic electrodrilling of the ovary is lower than other surgical treatment of ovary. It can be diminished by irrigation of abdominal cavity. Also ovarian diatermi is very effective, cheaper.easier, treatment for the PCOD patients. (Gynecol Obstet Reprod Med 1997; 3:433-435) .