Comparison of Adhesion Formation in Open Wedge Resection (OWR) With Microsurgical Wedge Resection (MWR)
In 21 patients with polycystic ovarian disease, a laparotomy ovarian wedge resection was performed on both ovaries. The vessels were coagulated with a mini-bipolar instrument. Then, randomly one ovary was left open and the other closed with Vicryl material (5-0 in the interior and 8-0 on the edge of the ovary). Six weeks later, during a second look laparoscopy, the ovaries were scored according to adhesion formation (AFS classification). The mean score of adhesion in the two groups was 52/21 MWR and 82/21 OWR. The mean and standard error for the differences of scores were 1.43 and 0.94, respectively, which were not significant. Contrary to the previous report (Am J Obstet Gynecol; 163:1674, 1990), our study in humans does not show that the OWR is superior to MWR.
Dabirashrafi
H
Dept. of Ob/Gyn - Tehran University of Medical Sciences, Endoscopy and Fertility Research Center, Mirza Kouchek Khan Hospital, P.O. Box 14155-1689, Tehran, Iran.
Mohammad
K
Tabrizi
NM
Zandinejad
K