Reproductive outcome after ovarian surgery:  suturing versus nonsuturing of the ovarian cortex.
The purpose of this study was to ascertain if microsurgical approximation of the ovarian edges after ovarian surgery alters postoperative results, as determined by both adhesion formation and reproductive outcome.  Sixteen female white New Zealand rabbits were anesthetized, and the ovaries were exposed.  Each ovary was longitudinally bivalved with a scalpel, but only one ovary was reconstructed microsurgically, whereas the contralateral ovary was left open.  Four weeks after surgery, the rabbits were mated, and two weeks later, a laparotomy was performed to evaluate postoperative adhesions, the number of corpora lutea in each ovary, and the number of embryos in each uterine horn.  The nidation index was calculated.  No significant differences were found between the microsurgically sutured and the nonsutured ovaries for all the parameters evaluated.  Our data suggest that not closing the ovarian incision does not alter either postoperative adhesion formation or reproductive outcome.
Department of Obstetrics and Gynecology, Università Cattolica del Sacro Cuore, Rome, Italy.
R
R
Marana
A A
AA
Luciano
L
L
Muzii
V E
VE
Marendino
F V
FV
Paielli
G F
GF
Catalano
S
S
Mancuso
D000818:Animals; D000075202:Contraindications; D005260:Female; D005298:Fertility; D010535:Laparoscopy / Q000379:methods; D008866:Microsurgery / Q000379:methods*; D010053:Ovary / Q000601:surgery*; D011817:Rabbits; D013536:Suture Techniques / Q000009:adverse effects*; D000267:Tissue Adhesions / Q000517:prevention & control; D016896:Treatment Outcome