title: A modified technique of laparoscopic ovarian drilling for polycystic ovary syndrome using the monopolar hook electrode.
abstract: The aim of our study was to review our experience with a modified technique of laparoscopic ovarian drilling (LOD) using a monopolar hook electrode. We retrospectively included 38 clomiphene-resistant women with polycystic ovary syndrome undergoing LOD. A laparoscopic monopolar hook electrode was used to make three to six incisions in the ovarian capsule. It resulted in a rate of spontaneous ovulation of 75.8%, an overall one-year pregnancy rate of 80.6% and a subsequent live birth rate of 67.7%. We consider our LOD technique using the monopolar hook electrode practicable. Whether it leads to a more extensive destruction of the ovarian capsule and thereby of the ovarian reserve remains open.
authors: Department of Gynaecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Austria. johannes.ott@meduniwien.ac.at
authors: Johannes
authors: J
authors: Ott
authors: Klaus
authors: K
authors: Mayerhofer
authors: Stefanie
authors: S
authors: Aust
authors: Kazem
authors: K
authors: Nouri
authors: Johannes C
authors: JC
authors: Huber
authors: Christine
authors: C
authors: Kurz
mesh_terms: D000328:Adult; D001317:Austria; D002996:Clomiphene / Q000627:therapeutic use; D004351:Drug Resistance; D004566:Electrodes; D004867:Equipment Design; D005260:Female; D005300:Fertility Agents, Female / Q000627:therapeutic use; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods*; D010053:Ovary / Q000601:surgery*; D011085:Polycystic Ovary Syndrome / Q000601:surgery*; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies
chemical_list: D005300:Fertility Agents, Female; D002996:Clomiphene