Author(s): Naether OG, Fischer R
Objective: To evaluate the incidence and extent of periovarian adhesion formation subsequent to laparoscopic electrocoagulation of the ovarian surface in infertility patients with polycystic ovarian disease (PCOD).
Design: From a total of 199 PCOD patients treated with ovarian electrocautery, 50 cases of laparoscopy and 12 cesarean sections served as second-look investigation. A subgroup of 30 patients had abdominal lavage and artificial ascites after surgery; they underwent "early" second-look (2 to 14 days after laparoscopy).
Setting: All patients were referred to our fertility outpatient clinic affiliated with the university hospital.
Patients: Infertility patients with polycystic ovarian reaction to hormonal stimulation therapy underwent laparoscopic electrocoagulation of the ovarian surface.
Results: Adhesion formation was detected in 19.3%; the incidence reduced to 16.6% with the use of abdominal lavage. The adhesions found were obviously due to bleeding of the ovarian capsule caused by electrocautery. Adhesiolysis was easily possible during "early" second-look.
Conclusion: The incidence of de novo adhesion formation caused by laparoscopic electrocoagulation of the ovarian surface seems to be lower than after ovarian wedge resection; it can be reduced by abdominal lavage and artificial ascites.
Referred From: https://www.ncbi.nlm.nih.gov/pubmed/8513965
Author(s): Van der Veen F, Bayrama N, Van Welya M, Bossuytb P
Author(s): Felemban A, Tan SL, Tulandi T
Author(s): Setji TL, Brown AJ
Author(s): Cleemann L, Lauszus FF, Trolle B
Author(s): Jansen FW, Trimbos-Kemper T, Trimbos JB
Author(s): Chen Y, Luo X, Shi W, Zhou Z
Author(s): Kandil M, Selim M
Author(s): Takeuchi S, Futamura N, Takubo S, Noda N, Minoura H, et al.
Author(s): Api M, Görgen H, Cetin A
Author(s): Kovacs GT, Clarke S, Burger HG, Healy DL, Vollenhoven B
Author(s): Kucuk M, Kilic-Okman T
Author(s): Daniell JF, Miller W
Author(s): Utsunomiya T, Sumioki H, Taniguchi I
Author(s): Abdel Gadir A, Mowafi RS, Alnaser HM, Alrashid AH, Alonezi OM, et al.
Author(s): Tasaka K, Sakata M, Kurachi H, Komura H, Miyake A, et al.
Author(s): Gurgan T, Kisnisci H, Yarali H, Develioğlu O, Zeyneloğlu H, et al.
Author(s): Kovacs G, Buckler H, Bangah M, Outch K, Burger H, et al.
Author(s): Ostrzenski A
Author(s): Armar NA, Lachelin G
Author(s): Gjonnaess H
Author(s): Portuondo JA, Melchor JC, Neyro JL, Alegre A
Author(s): Keckstein J
Author(s): Naether OG, Baukloh V, Fischer R, Kowalczyk T
Author(s): Gurgan T, Urman B, Aksu T, Yarali H, Develioglu O, et al.
Author(s): Dabirashrafi H, Mohamad K, Behjatnia Y, Moghadami-Tabrizi N