Office microlaparoscopic ovarian drilling versus conventional laparoscopic ovarian drilling for women with polycystic ovary syndrome

被引:1
|
作者
Salah, Imaduldin [1 ]
机构
[1] Coll Med, El Minya, Egypt
关键词
Endocrine effects; Office microlaparoscopic ovarian drilling; Long-term follow-up; Polycystic ovary syndrome; Polycystic ovaries;
D O I
10.1007/s10397-012-0756-2
中图分类号
R61 [外科手术学];
学科分类号
摘要
It is a prospective controlled study to compare the beneficial effects of office microlaparoscopic ovarian drilling (OMLOD) under augmented local anesthesia, as a new modality treatment option, compared to those following ovarian drilling with the conventional traditional 10- mm laparoscope under general anesthesia. The study included 60 anovulatory women with polycystic ovary syndrome (PCOS) who underwent OMLOD (study group) and 60 anovulatory PCOS women, where the conventional laparoscopic ovarian drilling (LOD), using 10- mm laparoscope under general anesthesia, was performed (comparison group). Transvaginal ultrasound scan and blood sampling to measure the serum concentrations of LH, FSH, testosterone, and androstenedione had been performed before and after the procedure. Intra- and postoperative pain score in candidate women had been evaluated during the office microlaparoscopic procedure, in addition to the number of candidates who needed extra analgesia. The women undergoing OMLOD showed a good intra- and postoperative perception pain score. The number of those patients discharged within the first 2 h after office procedure was significantly higher, without the need for postoperative analgesia with most patients. The LH/FSH ratio and mean serum concentrations of LH, testosterone, and free androgen index have decreased significantly after both OMLOD and LOD within a postoperative year follow- up. The mean ovarian volume decreased significantly (P<0.05) within the year after both OMLOD and LOD. There were no significant differences in those results after both procedures. Intra- and postoperative augmented local anesthesia allows outpatient bilateral ovarian drilling by microlaparoscopy without general anesthesia. The relatively high pregnancy rate, the simplicity of the method, and the faster discharge time after the operation offer a new modality option for patients with PCOS, who are resistant to clomiphene citrate ovarian induction. Moreover, ovarian drilling could be performed simultaneously during the routine diagnostic microlaparoscopy and integrated in the fertility work-up investigations for those patients.
引用
收藏
页码:71 / 77
页数:7
相关论文
共 50 条
  • [1] Office microlaparoscopic ovarian drilling (OMLOD) versus conventional laparoscopic ovarian drilling (LOD) for women with polycystic ovary syndrome
    Imaduldin M. Salah
    [J]. Archives of Gynecology and Obstetrics, 2013, 287 : 361 - 367
  • [2] Office microlaparoscopic ovarian drilling (OMLOD) versus conventional laparoscopic ovarian drilling (LOD) for women with polycystic ovary syndrome
    Salah, Imaduldin M.
    [J]. ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 2013, 287 (02) : 361 - 367
  • [3] Long-Term Prognosis of Office Microlaparoscopic Ovarian Drilling (OMLOD) for Women with Polycystic Ovary Syndrome
    Siam, Emad M.
    [J]. JOURNAL OF GYNECOLOGIC SURGERY, 2011, 27 (04) : 209 - 216
  • [4] Laparoscopic ovarian drilling in polycystic ovary syndrome
    Api, M
    Görgen, H
    Çetin, A
    [J]. EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2005, 119 (01) : 76 - 81
  • [5] Ovarian reserve in women with polycystic ovary syndrome who underwent laparoscopic ovarian drilling
    Weerakiet, Sawaek
    Lertvikool, Srithean
    Tingthanatikul, Yada
    Wansumrith, Surapee
    Leelaphiwat, Supatra
    Jultanmas, Rattiya
    [J]. GYNECOLOGICAL ENDOCRINOLOGY, 2007, 23 (08) : 455 - 460
  • [6] Metformin versus laparoscopic unilateral ovarian drilling in clomiphene resistant women with polycystic ovary syndrome
    El Sharkwy, Ibrahim
    [J]. MIDDLE EAST FERTILITY SOCIETY JOURNAL, 2013, 18 (03) : 202 - 207
  • [7] Outcome of Ovarian Drilling in Women with Polycystic Ovary Syndrome
    Yanamandra, Niraj K.
    Gundabattula, Sirisha Rao
    [J]. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2015, 9 (02) : QC1 - QC3
  • [8] Ovarian drilling in infertile women with polycystic ovary syndrome
    Rose, BI
    [J]. JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, 1997, 3 (03): : 461 - 468
  • [9] Laparoscopic ovarian drilling for ovulation induction in women with anovulatory polycystic ovary syndrome
    Bordewijk, Esmee M.
    Ng, Ka Ying Bonnie
    Rakic, Lidija
    Mol, Ben Willem J.
    Brown, Julie
    Crawford, Tineke J.
    van Wely, Madelon
    [J]. COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2020, (02):
  • [10] Laparoscopic ovarian drilling reduces serum homocysteine levels in women with Polycystic Ovary Syndrome
    Chitra, T.
    Papa, Dasari
    Sinha, Priyanka
    Nandeesha, H.
    [J]. EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2018, 221 : 135 - 138