[Ovarian drilling for surgical approach of polycystic ovary syndrome].
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.
Fernandez
H
H
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
Gervaise
A
A
Alby
J D
JD
Kadoch
J
J
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
D005300:Fertility Agents, Female