Ovarian wedge resection by minilaparatomy in infertile patients with polycystic ovarian syndrome: a new technique.
OBJECTIVE
To determine the effects of ovarian wedge resection by minilaparotomy in infertile patients with polycystic ovarian syndrome (PCOS).


METHODS
One hundred and thirty-four anovulatory patients with PCOS, who were previously treated with clomiphene citrate and gonadotropins and did not conceive were operated via minilaparotomy with microsurgical principles and ovarian wedge resection was performed on each subject. Pregnancy rates and adhesion formation were investigated retrospectively.


RESULTS
A total of 121 pregnancies were achieved in 2 years (90%). One hundred and four patients conceived within the first 6 months (78%) and the remaining 17 patients conceived within 2 years (13%) following the operation. Sixty-eight patients had a second pregnancy later. In the post-operative period, 24 patients had cesarean delivery and 20 had diagnostic laparoscopy. Out of these 44 patients, only 5 of them were found to have minimal adhesions.


CONCLUSIONS
This technique offers high pregnancy rates and minimal adhesion formation. Ovarian wedge resection by minilaparotomy might be an alternative treatment approach in patients with PCOS who did not conceive with standard ovulation induction protocols.
Yildirim
Mulazim
M
Department of Obstetrics and Gynecology, Gazi University School of Medicine, Besevler, Ankara, Turkey. tivak_info@yahoo.com
Noyan
Volkan
V
Bulent Tiras
M
M
Yildiz
Akgun
A
Guner
Haldun
H
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D007813:Laparotomy / Q000379:methods*; D010053:Ovary / Q000601:surgery*; D011085:Polycystic Ovary Syndrome / Q000150:complications*; D011247:Pregnancy; D000267:Tissue Adhesions / Q000453:epidemiology; D016896:Treatment Outcome