الفهرس | Only 14 pages are availabe for public view |
Abstract Th is study was conducted for evaluation and lysis of adhesions after vlaparoscopic unipolar drilling of polycystic ovaries. Thirty women with peOD, who had previous laparoscopic ovarian drilling by unipolar electrocauterizauon at the departernent of Obstetrics and Gynecology of Benha University Hospital were subjected to a second-look laparoscopy for assessment of intraperitoneal adhesions according to the American Fertility Society classification of adnexal adhesions. The mean age of the selected women was 26.3 ± 4.7 years, 22 patients were with primal)’ infertility, and 8 patients with secondary infertility. Twenty women responded after unipolar ovarian drilling by spontaneous ovulation (66.7%), all ovulated during the first month after ovarian drilling as proved by measuring serum progesterone level. No adhesions could be detected in 7 patients (23.3%), in 16 patients (j3.3%), the adhesions were minimal (adhesion scores between 2-5) and localised to the periovarian and peritubal sites, and in 5 patients (16.7%) the adhesions were mild (adhesion scores between 6-8). While in the remaining 2 l3D patients the adhesions could he esnmated as moderate (auh~slon Score 14). The adhesions present were lysed laparoscop icall y to restore mobility of the ovaries, normal tuboovanan relation~hip , and ensure tubal patency. f In conclus ion, the laparoscop ic clectrocoilgulll[ ion of Ihl: ovarian trssue in polycystic uvary patients, seems to be easier, less cxpensi ••e.., and more effective than bilateral ovarian wedge resection or even laser methods, especially because the rate of postoperative fbrmation of adnexal adhesions appears ro be less freq uent and most of the adhesions were of the filmy avascu tar type which could he easily lysed by blunt dissection wnhout any compl icatiuns |