title: [Ovarian drilling for surgical approach of polycystic ovary syndrome].
abstract: OBJECTIVE
  Show the different surgical approaches for the treatment of polycystic ovarian syndrome (SOPK).
  
  
  METHODS
  Seventy-one patients treated by ovarian drilling by laparoscopy and 47 by hydrolaparoscopy. The main inclusion criterion was the absence of response after 6 months of stimulation by clomifene citrate for oligo-amenorrheic patients.
  
  
  RESULTS
  After a review of surgical series published of ovarian drilling, we found 73% pregnancy rate after laparoscopic treatment and 61 % after hydrolaparoscopy.
  
  
  CONCLUSIONS
  Ovarian drilling appears as an alternative to ovarian hyperstimulation with intra-uterine insemination after failure of clomifène citrate and/or metformine. Surgical treatment decreases multiple pregnancies and miscarriages. Hydrolaparoscopy is more efficient than laparoscopy with less morbidity in particular in obese patients.
authors.affiliation: Service de gynécologie-obstétrique, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, 92141 Clamart cedex, France. herve.fernandez@abc.ap-hop-paris.fr
authors.forename: H
authors.initials: H
authors.lastname: Fernandez
authors.forename: A
authors.initials: A
authors.lastname: Gervaise
authors.forename: J D
authors.initials: JD
authors.lastname: Alby
authors.forename: J
authors.initials: J
authors.lastname: Kadoch
mesh_terms: D000328:Adult; D005260:Female; D005300:Fertility Agents, Female / Q000627:therapeutic use; D006801:Humans; D007247:Infertility, Female / Q000601:surgery*; D007315:Insemination, Artificial; D010535:Laparoscopy / Q000379:methods*; D010053:Ovary / Q000601:surgery*; D011085:Polycystic Ovary Syndrome / Q000601:surgery*; D011247:Pregnancy; D018873:Pregnancy Rate; D016896:Treatment Outcome
chemical_list: D005300:Fertility Agents, Female