Transvaginal hydrolaparoscopy in the treatment of polycystic ovary syndrome  

Oleh:

Gordts, Stephan ; Gordts, Sylvie ; Puttemans, Patrick

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 91 no. 06 (Jun. 2009), page 2520-2526 .
Topik: Polycystic ovary; infertility; NOTES; drilling; transvaginal laparoscopy; surgery

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2009.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective To evaluate the efficacy of transvaginal endoscopic ovarian capsule drilling. Design Retrospective efficacy study. Setting Private tertiary care center. Patient(s) Thirty-nine PCOS patients with previously failed ovulation induction; mean duration of infertility 26.5 months (SD ±2.6); mean age 30.38 years (SD ±3.8); mean body mass index of 29.4 (SD ±9.7). Intervention(s) Through transvaginal hydrolaparoscopy in a 1-day clinic setting, drilling of the ovarian capsule is performed with a 5-Fr bipolar needle (Karl Storz, Tüttlingen, Germany) creating10–15 holes of ±0.20 mm in each ovary. Main Outcome Measure(s) Evaluation of feasibility, spontaneous resumption of ovulatory cycles and pregnancy rates. Result(s) Ovarian capsule drilling was performed in 39 patients. Six patients were lost of follow-up. In total, 25 out of 33 patients (76%) became pregnant with a mean duration between procedure and onset of pregnancy of 7.2 months (SD ±5.4). Natural conception with or without controlled ovarian hyperstimulation and/or intrauterine insemination occurred in 13 of the 16 patients (81%). Of the 17 patients referred to our IVF program, 12 became pregnant. There were no multiple pregnancies or complications. Conclusion(s) The transvaginal approach for ovarian capsule drilling offers a valuable alternative to the standard laparoscopic procedure.

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