Document Detail


Transvaginal hydrolaparoscopic ovarian drilling using bipolar electrosurgery to treat anovulatory women with polycystic ovary syndrome.
MedLine Citation:
PMID:  12732776     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To verify the value, feasibility, and reliability of transvaginal hydrolaparoscopic ovarian drilling using the bipolar VersaPoint system to treat clomiphene-resistant, anovulatory women with polycystic ovary syndrome. DESIGN: Prospective clinical study (Canadian Task Force classification II-2). SETTING: University teaching hospital. PATIENTS: Twenty-eight women. INTERVENTION: Transvaginal hydrolaparoscopic ovarian drilling using the bipolar VersaPoint spring electrode. MEASUREMENTS AND MAIN RESULTS: After the surgical procedure, ovulation occurred spontaneously in 66.7% of women. Thirteen pregnancies occurred; eight were spontaneous, and four were achieved after induction of ovulation with clomiphene citrate and one after stimulation with gonadotropins. In 21 women whose infertility was due exclusively to anovulation, the cumulative pregnancy rate was 38% at 3 months and 76% at 6 months. No ovarian hyperstimulation or abortion occurred. The single complication was bleeding from an ovary that required conversion to laparoscopy. CONCLUSION: Transvaginal hydrolaparoscopic ovarian drilling with the bipolar VersaPoint system is a useful therapeutic option in these women.
Authors:
Alessandro Casa; Francesco Sesti; Massimiliano Marziali; Lorenza Gulemì; Emilio Piccione
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of the American Association of Gynecologic Laparoscopists     Volume:  10     ISSN:  1074-3804     ISO Abbreviation:  J Am Assoc Gynecol Laparosc     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-06     Completed Date:  2003-09-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9417443     Medline TA:  J Am Assoc Gynecol Laparosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  219-22     Citation Subset:  IM    
Affiliation:
S. Pietro Fatebenefratelli Hospital, and Department of Gynecologic Surgery, University of Rome Tor Vergata, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anovulation / etiology,  surgery
Electrosurgery / instrumentation,  methods*
Feasibility Studies
Female
Follow-Up Studies
Humans
Infertility, Female / etiology,  surgery
Laparoscopy / methods*
Ovulation / physiology*
Ovulation Induction / methods*
Polycystic Ovary Syndrome / complications,  surgery*,  ultrasonography
Prospective Studies
Risk Assessment
Treatment Outcome
Vagina

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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