Ovarian suspension for adhesion prevention during laparoscopic excision of severe pelvic endometriosis and endometrioma excision: a systematic review

Pergialiotis, Vasilios; Prodromidou, Anastasia; Karampetsou, Nikoleta; Diamantopoulos, Marios A.; Perrea, Despina; Nikiteas, Nikolaos

doi:10.1007/s10397-016-0963-3

Cited by 10 publications

(6 citation statements)

References 27 publications

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“…Therefore, there are only a few retrospective reports in the literature that describe the efficacy of these procedures based on a second look laparoscopy in small number of patients (Abuzeid M et al, 2002; Quahba et al, 2004; Carbonnel et al, 2011). All these studies and a systematic review of the literature by Pergialiotis et al, (2016) suggest that TOS to the anterior abdominal wall using non-absorbable sutures is an effective and feasible surgical technique, which might actually help reducing post-operative adhesions formation (Pergialiotis et al, 2016). Until recently the study by Pergialiotis et al, (2016) was the only systematic review of the literature on this topic which concluded that “current evidence suggests that ovarian suspension could be an effective and feasible surgical technique, which might actually help reduce postoperative adhesions”.…”

Section: Discussionmentioning

confidence: 99%

“…All these studies and a systematic review of the literature by Pergialiotis et al, (2016) suggest that TOS to the anterior abdominal wall using non-absorbable sutures is an effective and feasible surgical technique, which might actually help reducing post-operative adhesions formation (Pergialiotis et al, 2016). Until recently the study by Pergialiotis et al, (2016) was the only systematic review of the literature on this topic which concluded that “current evidence suggests that ovarian suspension could be an effective and feasible surgical technique, which might actually help reduce postoperative adhesions”. However, a more recent systematic review of the literature by Giampaolino et al, 2018, reached the same conclusion.…”

Section: Discussionmentioning

confidence: 99%

“…A thorough search of literature revealed that there are only 11 manuscripts and 1 published abstract addressing the safety and efficacy of TOS. There are 8 observational studies (7 manuscripts and 1 published abstract) [Abuzeid M et al, 2002; Quahba et al, 2004; Carbonnel et al 2011; Poncelet et al, 2012; Pellicano et al, 2014; Trehan A and Trehan AK 2014; Abuzeid O et al, 2018, Mitwally et al, 2009], 2 systematic reviews (Pergialiotis et al, 2016; Giampaolino et al, 2018), and 2 prospective randomized control trials (Seracchioli et al, 2014; Hoo et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Ovarian suspension techniques have been proposed after ovariolysis and excision of endometrioma to reduce occurrence and recurrence of adhesions. 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).…”

Section: Introductionmentioning

confidence: 99%

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

Abuzeid

Hébert

Ashraf

et al. 2018

Journal of Minimally Invasive Gynecology

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Abuzeid

Hébert

Ashraf

et al. 2018

Journal of Minimally Invasive Gynecology

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“…Although results are conflicting, this technique looks promising. Two systematic reviews done also conclude that ovarian suspension is an effective surgical procedure thatwill reduce postoperative adhesions [4,45]. Although second look laparoscopy confirms postoperative adhesions, ultrasound has been shown to predict adhesions with 80% sensitivity and specificity [7].…”

Section: Reduction Of Postoperative Adhesionmentioning

confidence: 99%

Ovariopexy—Before and after Endometriosis Surgery

et al. 2020

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Endometriosis surgery is often very challenging. Key to complete resection of endometriosis is access to the retroperitoneum. Endometriosis can involve the ureter and uterine vessels, and ovary on the lateral pelvic wall makes retroperitoneal access difficult. Primary and post-surgical adhesions prevalence in endometriosis is very high. Ovariopexy, transposition of ovaries temporarily, is done for better surgical access and to reduce postoperative adhesions. We concluded that although limited evidence, ovariopexy is an excellent tool to aid endometriosis surgery and prevent postoperative adhesions. It is cost effective, simple and complication rate almost nil. More robust trials are required to substantiate evidence for its impact on preventing postoperative adhesions and its effect on fertility. In this review, we describe our technique of ovariopexy supplemented with a video, with the aim to put light on this useful and important technique, which is beneficial both for surgeons and patients.

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Tonsillectomy: Patient Response-based Assessment and Results in Urban Indian Population

Maggon¹,

Sethi²

2017

International Journal of Head and Neck Surgery

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Introduction: Tonsillectomy has been considered a controversial surgical procedure due to absence of unequivocal evidence in favor of its benefits. We carried out a standardized patient response-based assessment study to evaluate the benefits. Materials and methods: A total of 62 patients in the age group of 4 to 11 years underwent a preoperative assessment of their symptoms [three groups: recurrent upper respiratory infection (URI), sleep-disordered breathing (SDB), or both] on a T-14 standard questionnaire and, if they met the standard criteria, were taken up for coblation-assisted tonsillectomy and/or adenoidectomy. Their postoperative responses were assessed and benefits compared statistically. Results: A total of 62 patients in three groups underwent the procedure and their postoperative T-14 responses at 3 and 6 months were evaluated. There was a statistically significant improvement in their scores at 3 months in all three groups. However, the improvement was static and did not continue at 6 months. Conclusion: Tonsillectomy, with or without adenoidectomy, is a beneficial procedure for all three categories of patients (based on symptoms) and brings significant improvement on a standardized patient response-based assessment scoring system in patients selected based on a standard criteria.

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Ovarian suspension for adhesion prevention during laparoscopic excision of severe pelvic endometriosis and endometrioma excision: a systematic review

Cited by 10 publications

References 27 publications

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

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

Ovariopexy—Before and after Endometriosis Surgery

Tonsillectomy: Patient Response-based Assessment and Results in Urban Indian Population

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