A Modified Technique of Temporary Suspension of the Ovary to the Anterior Abdominal Wall

Safety and Efficacy of Two Techniques of Temporary Ovarian Suspension to the Anterior Abdominal Wall after Operative Laparoscopy

“…This study describes the safety and efficacy of TOS to the anterior abdominal wall using absorbable and non-absorbable sutures after operative laparoscopy for advanced endometriosis (93.4%) and other indications (6.6%). It also compares the safety and efficacy of a modified technique using absorbable suture to the original technique published by Abuzeid M et al, (2002) using a non-absorbable suture (Abuzeid M et al, 2002; Abuzeid O et al, 2018). The results suggest that both techniques are simple, safe and easy to perform.…”

“…The results suggest that both techniques are simple, safe and easy to perform. Compared to the original technique published by Abuzeid M et al (2002), the modified technique has the advantage of eliminating the theoretical risk of infection, eliminating the need for removal of the non-absorbable suture, and the additional benefit of suspending the ovary away from the pelvic brim and the fallopian tube, in turn reducing the risk of adhesions between the ovary and such structures (Figure 2) [Abuzeid M et al, 2002; Abuzeid O et al, 2018]. In addition, the modified technique allows one to leave fluids solutions in the peritoneal cavity for hydro-floatation.…”

“…A video operative laparoscopy equipment with a four-portal entry technique was performed to allow for maximum access and maneuverability of instruments (Abuzeid O et al, 2018). During operative laparoscopy, unilateral or bilateral excision of endometriomas and / or ovariolysis was performed as previously described (Raju et al, 2015; Abuzeid O et al, 2018).…”

“…A video operative laparoscopy equipment with a four-portal entry technique was performed to allow for maximum access and maneuverability of instruments (Abuzeid O et al, 2018). During operative laparoscopy, unilateral or bilateral excision of endometriomas and / or ovariolysis was performed as previously described (Raju et al, 2015; Abuzeid O et al, 2018). In addition, one or more of the following procedures was performed as needed: salpingolysis, fimbrioplasty, salpingostomy, and argon beam coagulation or CO2 laser vaporization of endometriotic implants or small endometriomas (Abuzeid M et al, 2009; Mitwally et al, 2009).…”

“…Over the last 15 years many groups published their experience with temporary ovarian suspension (TOS) for various indications and by various techniques (Lee et al, 1995; Quahba et al, 2004; Mitwally et al, 2006; Chapman et al, 2007; Carbonnel et al, 2011; Poncelet et al, 2012; Pellicano et al, 2014; Pergialiotis et al, 2016). More recently, Abuzeid O et al (2018) published a video describing a modified technique to temporary suspend the ovary to the fascia of the anterior abdominal wall using an absorbable suture with 3-0 plain catgut (Abuzeid O et al, 2018). The purpose of this study is to compare the safety and efficacy of TOS to the anterior abdominal wall using absorbable suture with 3-0 plain catgut to non-absorbable mono-filaments nylon suture after operative laparoscopy.…”