Minilaparoscopic ovarian drilling for PCOS.(polycystic ovary syndrome ) Minilaparoscopic ovarian drilling for PCOS.(polycystic ovary syndrome )
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Issue: Oct, 2000
In a study that included university hospitals and a private day-surgery center, 62 infertile women with polycystic ovary syndrome (PCOS) were randomized to minilaparoscopic ovarian drilling under local anesthesia and conscious sedation or traditional laparoscopic ovarian drilling under general anesthesia [Fertil Steril. 2000;74:376-379]. About 72% of the women in the first group were discharged 2 hours after surgery but none of the women in the second group.
Less than 22% of the women in the minilaparoscopy group required additional analgesics, compared to 53% of the conventional laparoscopy group. Hormonal profiles after surgery were similar for the two groups and there were no significant differences in ovulation and pregnancy rates within 1 year.
Minilaparoscopic ovarian drilling, the authors conclude, achieves a reduction of androgen levels comparable to laparoscopic ovarian resection or electrocauterization, "with the additional benefit of being a less invasive technique that can be performed as an outpatient procedure without the need for general anesthesia."
COPYRIGHT 2000 A Thomson Healthcare Company
COPYRIGHT 2001 Gale Group
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