Journal
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
Volume 90, Issue 5, Pages 547-550Publisher
WILEY
DOI: 10.1111/j.1600-0412.2011.01103.x
Keywords
Laparoscopic ovarian drilling; polycystic ovary syndrome; surgical technique; ovulation rate; live birth rate; outcome
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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.
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