Bilateral or Unilateral KTP Laser Ovarian Drilling in Polycystic Ovarian Disease

Jamal, Hassan S.

doi:10.5144/0256-4947.2000.165

Cited by 8 publications

(3 citation statements)

References 19 publications

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“…Several studies have shown that reducing the number of holes per each ovary will result in decreased risk of consequent adhesion formation. Jamal [14] showed that electrocauterization of only one ovary will result in decreased risk of subsequent adhesion formation with achieving favorable result [14]. However, it is postulated that decreaseing the number of holes will result in decreased efficacy of the procedure.…”

Section: Discussionmentioning

confidence: 99%

Serum Levels of Anti-histone and Anti-double-Strand DNA Antibodies Before and After Laparoscopic Ovarian Drilling in Women with Polycystic Ovarian Syndrome

Samsami

Razmjoei

Parsanezhad

2013

J Obstet Gynecol India

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Objectives To determine the serum levels of anti-dsDNA, anti-histone, and anti-nucleosome antibodies after laparoscopic ovarian electrocauterization in patients with polycystic ovarian syndrome (PCOS). Methods Our study was performed on 35 patients with PCOS resistant to medical therapy, 35 patients with unexplained infertility, and 35 healthy fertile individuals. Patients with PCOS underwent laparoscopic electrocauterization while those with unexplained infertility underwent diagnostic laparoscopy. Serum levels of anti-dsDNA, anti-histone, and anti-nucleosome antibodies were measured at baseline and 1 month after operation and were compared between groups.

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Section: Discussionmentioning

confidence: 99%

Serum Levels of Anti-histone and Anti-double-Strand DNA Antibodies Before and After Laparoscopic Ovarian Drilling in Women with Polycystic Ovarian Syndrome

Samsami

Razmjoei

Parsanezhad

2013

J Obstet Gynecol India

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“…Only 4 RCTs reported the outcome of live births [7,9,22,25]. Low quality of evidence allowed for the inability to determine difference in live births between unilateral and bilateral LOD (Table 2; p = 1.00) [5,6,17,18,21−23]; 10 or 5 punctures per ovary (Supplemental Table 1; p = .35) [7,8]; bilateral LOD with bipolar versus monopolar diathermy (Supplemental Table 2; p = .18) [9,10,12−14, 19,20,24−28], bilateral LOD using CO 2 laser compared with monopolar diathermy (Supplemental Table 2; p = .37) [9,10,12−14,19,20,24−28].…”

Section: Live Birthsmentioning

confidence: 99%

Variation of Laparoscopic Ovarian Drilling for Clomiphene Citrate-resistant Patients with Polycystic Ovary Syndrome and Infertility: A Meta-analysis

Zhang

Zhou

Luo

et al. 2020

Journal of Minimally Invasive Gynecology

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Register in February 2019. Methods of Study Selection: Randomized controlled trials (RCTs) evaluating LOD for patients with clomiphene citrateresistant polycystic ovary syndrome and infertility and reporting reproductive outcomes, surgical complications, serum indexes, menses resumption, and ultrasound results were included. Quality and risk of bias were evaluated by 2 authors, respectively. Tabulation, Integration, and Results: A total of 20 RCTs with 1615 patients were included. Evaluation of the quality of evidence for each study was based on each study's limitations of 5 outcome domains described by the Grading of Recommendations, Assessment, Development, and Evaluation and found to be moderate to very low. Live births were only reported by 4 studies. Unilateral LOD did not differ with bilateral LOD in reproductive outcomes, such as pregnancy (p = .11, I 2 = 75%), ovulation (p = .08, I 2 = 0%), miscarriage (p = .61), and menstruation resumption (p = .06). There was insufficient evidence regarding efficacy and safety of novel methods of LOD, such as transvaginal hydrolaparoscopy (1 RCT) and micro-LOD (3 RCTs). Evidence regarding the suitable number of ovarian punctures, duration of drilling, and antim€ ullerian hormone or antral follicle numbers following LOD were inconclusive. Conclusion: Unilateral LOD seems to be suitable replacement for conventional bilateral LOD for clomiphene citrate-resistant polycystic ovary syndrome, although more studies involving long-term reproductive efficacy, adverse events, and varying forms of LOD are warranted.

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“…The main adverse effect is the risk of periovarian adhesion formation, depending on specific techniques used (7)(8)(9). For this reason, some authorities advocate a strategy of minimizing the number of holes in each ovary, with the intention of reducing the periovarian adhesion, and they have even suggested cauterization of only one ovary (20). It appears that reduction of the ovarian surface injury affects the efficacy of the procedure.…”

Section: Alborzi Aoa After Lec In Patients With Pcos Fertil Steril mentioning

confidence: 99%

Determination of antiovarian antibodies after laparoscopic ovarian electrocauterization in patients with polycystic ovary syndrome

Tavazoo

Dehaghani

Ghaderi

et al. 2009

Fertility and Sterility

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Bilateral or Unilateral KTP Laser Ovarian Drilling in Polycystic Ovarian Disease

Cited by 8 publications

References 19 publications

Serum Levels of Anti-histone and Anti-double-Strand DNA Antibodies Before and After Laparoscopic Ovarian Drilling in Women with Polycystic Ovarian Syndrome

Serum Levels of Anti-histone and Anti-double-Strand DNA Antibodies Before and After Laparoscopic Ovarian Drilling in Women with Polycystic Ovarian Syndrome

Variation of Laparoscopic Ovarian Drilling for Clomiphene Citrate-resistant Patients with Polycystic Ovary Syndrome and Infertility: A Meta-analysis

Determination of antiovarian antibodies after laparoscopic ovarian electrocauterization in patients with polycystic ovary syndrome

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