Is there any difference among the most frequently used laparoscopic ovarian drilling techniques?

Apı, Murat

doi:10.1016/j.fertnstert.2009.03.006

Cited by 6 publications

(2 citation statements)

References 4 publications

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“…The method most commonly used worldwide at the moment is monopolar needle or hook due to ease of installation and the wide availability of the necessary equipment. 24 tients. The adhesions were significantly more frequent in the left ovary regardless of the number of perforations.…”

Section: Discussionmentioning

confidence: 99%

Drilling: medical indications and surgical technique

Hueb

Júnior

Abrão

et al. 2015

Rev. Assoc. Med. Bras.

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Section: Discussionmentioning

confidence: 99%

Drilling: medical indications and surgical technique

Hueb

Júnior

Abrão

et al. 2015

Rev. Assoc. Med. Bras.

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“…These results are not comparable to those of the present study, as the energy settings were not comparable and the Hendriks et al study was conducted in vitro . Tissue vascularization probably results in less damage than that observed in vitro , as differences in water content and the heat sink effect might mitigate injury [23]. …”

Section: Discussionmentioning

confidence: 99%

Adequacy of ovarian diathermy under ultrasound control: an experimental model

et al. 2013

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BackgroundTo develop a minimally invasive ovarian cauterization technique under transvaginal ultrasound control and evaluate the safety and feasability of monopolar cauterization to cause ovarian injury using female cattle of reproductive age as an experimental model.MethodExperimental study in a university research center was performed. Eleven female bovines of reproductive age were submitted to monopolar transvaginal ovarian cauterization. The right ovary (RO) was punctured at four sites and 40 W was applied for 5 s at each point, resulting in a total of 800 J (Joules) of thermal energy. In the left ovary (LO), the procedure was similar, with the same time and 80 W, resulting in a thermal energy of 1600 J. Macroscopic and microscopic lesions were assessed.ResultsOf 22 ovaries punctured, 20 were cauterized and exhibited macroscopic and typical microscopic lesions. No lesions could be found in the needle path. The measures of the areas of microscopic electrocautery lesions calculated estimating a cylindrical volume showed a median of 1.12% in the right ovary and 1.65% in the left ovary. When the estimate was calculated by spherical shape, the medians were 1.77% in the right ovary and 3.06% in the left ovary. There was a statistically significant difference in these two estimates (sphere, p = 0.008; cylinder, p = 0.021).ConclusionThe experimental animal model described for transvaginal ultrasound-guided ovarian needle cauterization seems to be feasible. The ovaries were successfully cauterized without injuries in needle path and more energy resulted in significantly more thermal lesion. The safety and effectiveness of this technique, theoretically less invasive than current ovarian drilling methods, could be tested in anovulatory women with PCOS.

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