Post-Ovarian Wedge Resection Adhesive Disease

Buttram, Veasy C.; Vaquero, Carlos

doi:10.1016/s0015-0282(16)41351-8

Cited by 145 publications

(30 citation statements)

References 6 publications

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“…However, the disadvantage of ovarian wedge resec tion is the possibility of intrapelvic adhesion [2,3]. Recently, the less invasive surgical procedure of laparos copic ovarian cautery has been developed for the treat ment of anovulation in patients with PCOS [4], Women with PCOS have elevated serum levels of the luteinizing hormone (LH) as well as elevated androgen levels.…”

Section: Introductionmentioning

confidence: 99%

Electrocautery in Polycystic Ovary Syndrome

Tasaka

Sakata²,

Kurachi³

et al. 1990

Horm Res

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The serum levels of bioactive luteinizing hormone (LH), immunoreactive LH, follicle-stimulating hormone (FSH), and testosterone were determined in eleven anovulatory women with polycystic ovary syndrome (PCOS) before and after laparoscopic ovarian cautery. Before treatment, the mean ± SEM levels of bioactive and immunoreactive LH and testosterone were 53.1 ± 7.9 mlU/ml, 35.2 ± 3.9 mlU/ml, and 1.14 ± 0.13 ng/ml, respectively, which were significantly higher than those of five control women (19.2 ± 1.6 mlU/ml, 21.4 ± 1.2 mlU/ml, 0.28 ± 0.03 ng/ml). After treatment, the mean levels of these hormones decreased significantly, ten women ovulated spontaneously and four conceived. The present results suggest that decreases in the levels of these hormones by laparoscopic ovarian cautery in women with PCOS may result in both restoration of the ovulatory cycle and the achievement of pregnancy.

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Section: Introductionmentioning

confidence: 99%

Electrocautery in Polycystic Ovary Syndrome

Tasaka

Sakata²,

Kurachi³

et al. 1990

Horm Res

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“…However, WR can lead to the formation of pelvic adhesions which can result in continued infertility be cause of mechanical pelvic factors [2][3][4]. To eliminate adhesions and minimize the operative trauma of WR.…”

Section: Discussionmentioning

confidence: 99%

“…This method often leads, however, to the formation of pelvic adhesions, which can result in continued infertility due to mechanical pelvic factors [2][3][4], To avoid major operative procedures and to minimize the surgical trauma that results from ovarian WR, laparoscopic ovarian biopsy [5], laser vaporization [6] and electrocautery [7,8] have been reported as successful therapy for PCOS.…”

mentioning

confidence: 99%

Hormonal and Clinical Effects of Multifollicular Puncture and Resection on the Ovaries of Polycystic Ovary Syndrome

Utsunomiya

Sumioki²,

Taniguchi³

1990

Horm Res

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Sixteen women with polycystic ovary syndrome (PCOS) were treated with laparoscopic multifollicular puncture and resection (MPR), an original technique which we substitute for ovarian wedge resection. Serum luteinizing hormone (LH), follicle stimulating hormone (FSH), testosterone (T), estrone (E1), estradiol (E2), androstenedione (A) and dehydroepiandrosterone sulphate (DHEAS) were measured daily before and after the operation. Clinically, 15 of the 16 patients (93.8%) exhibited spontaneous ovulation and pregnancies occurred in 8 patients (50%). Significant hormonal changes were observed in serum T. Serum T levels dropped in response to the treatment and remained low for 5 days. Serum E1 A, DHEAS and LH levels were elevated before treatment and did not change after the operation. Serum E2 and FSH levels were within the normal range before the treatment and did not change after the operation. We conclude that surgical treatment for PCOS patients should consist of laparoscopic MPR.

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“…Preserva tion of fertility is extremely important in these conserva tive operations. Postoperative adhesions following wedge resection for polycystic ovaries might impair fertility in up to one third of cases [1], An improved surgical tech nique in ovarian closure might decrease adhesion forma tion and result in higher fertility rates. Concentrated human fibrin glue is recommended for adherence in tubal surgery and bowel anastomosis [2,3], and there are some reports indicating inhibition of intra-abdominal adhe sions using this glue [4,5], In our opinion, postoperative adhesion formation following different ovarian recon struction techniques including fibrin glue has not been studied thoroughly.…”

Section: Introductionmentioning

confidence: 99%

Postoperative Adhesion Formation following Ovarian Reconstruction with Fibrin Glue in the Rabbit

Bilgin¹,

Cengiz²,

Demir³

1995

Gynecol Obstet Invest

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To compare postoperative adhesion formation following ovarian reconstruc tion with fibrin glue or the microsurgical suturing technique, an experimental study was performed on sixteen adult female rabbits. While left ovaries were reapproximated with 6-0 coated polyglactin using a microsurgical technique, right ovaries were reconstructed with fibrin glue following ovarian bisection. Four weeks later, second-look laparotomies were performed to evaluate the adnexal adhesions. These were scored according to the American Fertility Society classification. Mean adnexal adhesion scores were 8.2 ± 2.3 in the sutured ovary and 5.0 ± 1.1 in the glued ovary (p > 0.05). Ovarian reconstruc tion with fibrin glue does not reduce postoperative adhesion when compared with the usual suturing technique.

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Post-Ovarian Wedge Resection Adhesive Disease

Cited by 145 publications

References 6 publications

Electrocautery in Polycystic Ovary Syndrome

Electrocautery in Polycystic Ovary Syndrome

Hormonal and Clinical Effects of Multifollicular Puncture and Resection on the Ovaries of Polycystic Ovary Syndrome

Postoperative Adhesion Formation following Ovarian Reconstruction with Fibrin Glue in the Rabbit

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