title: Evaluation of adhesion formation after laparoscopic treatment of polycystic ovarian disease.
abstract: The incidence and fertility effects of postoperative adhesion formation after laparoscopic ovarian electrocautery or laser photocoagulation of polycystic ovaries has not been adequately analyzed. Short-interval second-look laparoscopy appears to be a useful method for addressing this issue. Employing short-interval second-look laparoscopy 3 to 4 weeks after the initial laparoscopic intervention, we were able to demonstrate adhesions in 6 of 7 patients (85%) treated with ovarian electrocautery and 8 of 10 patients (80%) submitted to laser therapy. The adhesions were amenable to laparoscopic lysis in 12 of 14 patients (85%). The subsequent conception rates within 6 months of second-look laparoscopy that were 57% and 40% in the electrocautery and the Nd:YAG laser groups, respectively, may in part be attributed to the restoration of normal pelvic anatomy during this procedure.
authors.affiliation: Hacettepe University, Faculty of Medicine, Department of Obstetrics and Gynecology, Ankara, Turkey.
authors.forename: T
authors.initials: T
authors.lastname: Gürgan
authors.forename: H
authors.initials: H
authors.lastname: Kişnişçi
authors.forename: H
authors.initials: H
authors.lastname: Yarali
authors.forename: O
authors.initials: O
authors.lastname: Develioğlu
authors.forename: H
authors.initials: H
authors.lastname: Zeyneloğlu
authors.forename: T
authors.initials: T
authors.lastname: Aksu
mesh_terms: D000328:Adult; D004564:Electrocoagulation / Q000009:adverse effects*; D005260:Female; D005298:Fertility; D006801:Humans; D010535:Laparoscopy; D053685:Laser Therapy / Q000009:adverse effects*; D008028:Light Coagulation / Q000009:adverse effects*; D010049:Ovarian Diseases / Q000209:etiology*; D010060:Ovulation; D011085:Polycystic Ovary Syndrome / Q000601:surgery*; D011184:Postoperative Period; D000267:Tissue Adhesions / Q000209:etiology