Document Detail

Ovarian wedge resection by minilaparatomy in infertile patients with polycystic ovarian syndrome: a new technique.
MedLine Citation:
PMID:  12593902     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the effects of ovarian wedge resection by minilaparotomy in infertile patients with polycystic ovarian syndrome (PCOS). STUDY DESIGN: One hundred and thirty-four anovulatory patients with PCOS, who were previously treated with clomiphene citrate and gonadotropins and did not conceive were operated via minilaparotomy with microsurgical principles and ovarian wedge resection was performed on each subject. Pregnancy rates and adhesion formation were investigated retrospectively. RESULTS: A total of 121 pregnancies were achieved in 2 years (90%). One hundred and four patients conceived within the first 6 months (78%) and the remaining 17 patients conceived within 2 years (13%) following the operation. Sixty-eight patients had a second pregnancy later. In the post-operative period, 24 patients had cesarean delivery and 20 had diagnostic laparoscopy. Out of these 44 patients, only 5 of them were found to have minimal adhesions. CONCLUSION: This technique offers high pregnancy rates and minimal adhesion formation. Ovarian wedge resection by minilaparotomy might be an alternative treatment approach in patients with PCOS who did not conceive with standard ovulation induction protocols.
Mulazim Yildirim; Volkan Noyan; M Bulent Tiras; Akgun Yildiz; Haldun Guner
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  107     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-02-20     Completed Date:  2003-10-09     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  85-7     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Gazi University School of Medicine, Besevler, Ankara, Turkey.
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MeSH Terms
Cesarean Section
Infertility, Female / etiology,  surgery*
Laparotomy* / methods*
Ovary / surgery*
Polycystic Ovary Syndrome / complications*
Tissue Adhesions / epidemiology
Treatment Outcome

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