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

Abuzeid, O.; Hébert, J.; Ashraf, M.; Mitwally, M.F.; Diamond, MP; Abuzeid, M.

doi:10.1016/j.jmig.2018.09.067

Cited by 3 publications

(12 citation statements)

References 28 publications

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“…They subsequently published a study thatshowed similar efficacy when absorbable or non-absorbable sutures are used with no evidence of decreased ovarian reserve in both. He also concluded, absorbable and non-absorbable sutures can reduce postoperative adhesions between the ovary and ovarian fossa [22].…”

Section: Technique Of Ovariopexymentioning

confidence: 99%

“…that mention ovariopexy as a benefit for access to the lateral pelvic wall in endometriosis surgery [21][22][23][24] and, there are some studies thathave shown a benefit in preventing postoperative adhesions [25][26][27][28].…”

Section: Technique Of Ovariopexymentioning

confidence: 99%

“…Comfortable access to the lateral pelvic wall is really important to prevent damage to major structures like the ureter and uterine artery, a very common site for superficial and deep endometriosis. Most authors perform ovariopexy by the above technique as we do [21,22,[25][26][27][28]30]. Two authors suspended the ovary to the ipsilateral round ligament using absorbable polyglactin suture, vicryl [31,32].…”

Section: Technique Of Ovariopexymentioning

confidence: 99%

“…Since an absorbable suture was used, removal of the suture was not required and theoretical risk of infections is absent. They subsequently published a study thatshowed similar efficacy when absorbable or non-absorbable sutures are used with no evidence of decreased ovarian Most authors perform ovariopexy by the above technique as we do [21,22,[25][26][27][28]30]. Two authors suspended the ovary to the ipsilateral round ligament using absorbable polyglactin suture, vicryl [31,32].…”

Section: Technique Of Ovariopexymentioning

confidence: 99%

“…This technique can also benefit urologist, uro-gynecologist, and bowel surgeons who need access to the pelvis. There are only a few studies that mention ovariopexy as a benefit for access to the lateral pelvic wall in endometriosis surgery [21][22][23][24] and, there are some studies thathave shown a benefit in preventing postoperative adhesions [25][26][27][28].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Technique Of Ovariopexymentioning

confidence: 99%

Section: Technique Of Ovariopexymentioning

confidence: 99%

Section: Technique Of Ovariopexymentioning

confidence: 99%

Section: Technique Of Ovariopexymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ovariopexy—Before and after Endometriosis Surgery

et al. 2020

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Hyaluronic acid gel application versus ovarian suspension for prevention of ovarian adhesions during laparoscopic surgery on endometrioma: a double-blind randomized clinical trial

et al. 2022

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Background This study aimed to compare the effect of ovarian suspension and hyaluronic acid gel to prevent re-adhesions after laparoscopic endometrioma surgery. Methods This randomized clinical trial was conducted at Rasoul-e-Akram and Pars Hospitals, Tehran, Iran, 2016-18. Fifty patients with bilateral endometrioma and pelvic adhesions, the candidates of laparoscopic surgery, were included. In each patient, at the end of ovarian cystectomy and adhesiolysis, one of the ovaries was randomly sutured to the abdominal wall, and the HYAcorp Endogel covered the other; the adhesion rate was compared between the groups by ultrasonography, three-month after surgery. Results Mean age of patients was 32.6 years. Presurgical variables were similar between right and left ovaries and the study groups (P > 0.05). Postsurgical ultrasonography showed that ovarian soft markers, including < 1/3 ovarian adhesions (minimal adhesions) in 80.5% of ovaries of the Endogel group and 35.5% of the ovarian suspension group (P < 0.001) with higher ovarian mobility in the Endogel group (65% vs. 22%) (P = 0.001). In addition, site-specific tenderness and ovarian fading margin were lower in the Endogel group (P < 0.001). Trial registration Clinical trial registry number: IRCT2015081723666N1, 12.19.2015, Date of registration: 01/02/2016; https://en.irct.ir/trial/20174?revision=20174. Date and number of IRB: 2015, I.R.IUMS.REC.1394.24703. Conclusion Hyaluronic acid gel can be more effective than ovarian suspension in preventing ovarian adhesions after laparoscopic treatment of endometriosis.

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Tips and tricks for adnexal lifting and mobilisation during laparoscopic cystectomy

Iavazzo¹,

Gkegkes²

2023

J Turkish German Gynecol Assoc

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

Cited by 3 publications

References 28 publications

Ovariopexy—Before and after Endometriosis Surgery

Ovariopexy—Before and after Endometriosis Surgery

Hyaluronic acid gel application versus ovarian suspension for prevention of ovarian adhesions during laparoscopic surgery on endometrioma: a double-blind randomized clinical trial

Tips and tricks for adnexal lifting and mobilisation during laparoscopic cystectomy

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