Polycystic ovarian syndrome treated by ovarian electrocautery through the laparoscope

Gjønnaess, H

doi:10.1016/s0015-0282(16)47534-5

Cited by 362 publications

(169 citation statements)

References 10 publications

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“…Gjonnaes reported highest ovulation rates with more than 10 points, but the difference between 6 and 10 points was marginal [7]. We had used maximum 8 points and did not find any difference between 6 and 8 point approach.…”

Section: Discussionmentioning

confidence: 83%

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Surgical Approach for Polycystic Ovarian Syndrome in Management of Infertility

Rath¹,

Sharma

Duggal³

2006

Medical Journal Armed Forces India

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Background: In patients with Polycystic Ovarian Syndrome (PCOS), resolution of infertility is an important goal of treatment. Wedge resection of the ovaries described as a means to achieve this was practiced in the middle of twentieth century. With the advent of endoscopic surgery, surgical approach for the same condition has been modified. Multi point biopsy, multiple needle puncture, electofulguration and laser fulguration are being tried in the context of PCOS. This project was taken up to evaluate the scope of electo fulguration in clomiphene resistant PCOS. Methods: Forty patients who did not show sonographic evidence of ovulation with clomiphene citrate (CC) 100mg OD for 05 days in two cycles were subjected to laparoscopy. The patients who did not show any pelvic factor for infertility were alternately assigned to electro -fulguration treatment of ovaries or no fulguration during laparoscopy. These were designated as 'Lap EC' & 'Only CC' group respectively. For 'Only CC' group' stimulation with CC was continued for four cycles with a higher dose 150 mg OD for 05 days. Lap EC group were subjected to CC 100mg OD for 5 days for two cycles in case of non achievement of ovulation in the first two drug free cycles following EC. Folliculometry, HCG administration and Intra Uterine Insemination (IUI) was performed for both groups. Results: Total percentage of ovulatory cycles were 51.8% in EC group compared to 5.26% in the CC group. Overall pregnancy rate of 30% was achieved in the Lap EC group as compared to only 10% in the CC group (p<0.05). Conclusion: Laparoscopic electrofulguration of ovaries increases the chances of ovulation and conception . This being a cheaper one time procedure as compared to other expensive ovulation inducing agents, should be the preferred mode and the primary procedure wherever polycystic ovaries are encountered while evaluating a case of infertility by laparoscopy. MJAFI 2006; 62 : 119-122

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Section: Discussionmentioning

confidence: 83%

“…As no tissue was removed, less raw surface and bleeding resulted and less were the chances of future adhesion formation. The classic laparoscopic method was described by Gjonnaess [7]. Daniell and Miller first described the use of lasers in PCOS patients [5].…”

Section: Discussionmentioning

confidence: 99%

Surgical Approach for Polycystic Ovarian Syndrome in Management of Infertility

Rath¹,

Sharma

Duggal³

2006

Medical Journal Armed Forces India

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“…Thus ovarian wedge resection remained the mainstay of PCOS treatment for the next 40 years. As ovarian wedge resection accompanied many complications including tubo-ovarian adhesions, it was abandoned till 1984 when laparoscopic method was introduced [12]. Laparoscopic electrocautery resulted in 90 % increase in ovulation rate and 70 % increase in pregnancy rate which were favorable results.…”

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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“…As Balen et al (1993) rightly point out, the procedure was first described by Gjonnaess (1984). A recent search of the literature revealed 35 papers attesting to the efficacy of this treatment.…”

Section: Authors' Replymentioning

confidence: 99%

Hypersecretion of luteinising hormone: a significant cause of infertility and miscarriage

Chandler

1994

BJOG

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Polycystic ovarian syndrome treated by ovarian electrocautery through the laparoscope

Cited by 362 publications

References 10 publications

Surgical Approach for Polycystic Ovarian Syndrome in Management of Infertility

Surgical Approach for Polycystic Ovarian Syndrome in Management of Infertility

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

Hypersecretion of luteinising hormone: a significant cause of infertility and miscarriage

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