Adhesion formation after laparoscopic electrocoagulation of the ovarian surface in polycystic ovary patients.
OBJECTIVE
To evaluate the incidence and extent of periovarian adhesion formation subsequent to laparoscopic electrocoagulation of the ovarian surface in infertility patients with polycystic ovarian disease (PCOD).


METHODS
From a total of 199 PCOD patients treated with ovarian electrocautery, 50 cases of laparoscopy and 12 cesarean sections served as second-look investigation. A subgroup of 30 patients had abdominal lavage and artificial ascites after surgery; they underwent "early" second-look (2 to 14 days after laparoscopy).


METHODS
All patients were referred to our fertility outpatient clinic affiliated with the university hospital.


METHODS
Infertility patients with polycystic ovarian reaction to hormonal stimulation therapy underwent laparoscopic electrocoagulation of the ovarian surface.


RESULTS
Adhesion formation was detected in 19.3%; the incidence reduced to 16.6% with the use of abdominal lavage. The adhesions found were obviously due to bleeding of the ovarian capsule caused by electrocautery. Adhesiolysis was easily possible during "early" second-look.


CONCLUSIONS
The incidence of de novo adhesion formation caused by laparoscopic electrocoagulation of the ovarian surface seems to be lower than after ovarian wedge resection; it can be reduced by abdominal lavage and artificial ascites.
Institute for Hormone and Fertility Research, University of Hamburg, Germany.
O G
OG
Naether
R
R
Fischer
D004564:Electrocoagulation / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015994:Incidence; D010535:Laparoscopy; D010049:Ovarian Diseases / Q000453:epidemiology* / Q000209:etiology; D011085:Polycystic Ovary Syndrome / Q000601:surgery*; D012086:Reoperation; D000267:Tissue Adhesions / Q000453:epidemiology / Q000209:etiology