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Chapter 19 - Ovarian cautery for polycystic ovary syndrome

from Section 5: - Alternatives to ovarian hyperstimulation

Published online by Cambridge University Press:  05 August 2011

By
Gabor T. Kovacs
Edited by
Mohamed Aboulghar  and
Botros Rizk
Mohamed Aboulghar
Affiliation:
Cairo University and the IVF-ET Center
Botros Rizk
Affiliation:
University of South Alabama
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Summary

Unipolar ovarian cautery is a commonly used method, as it is readily available for every operating gynecologist. Atraumatic forceps have been designed to grasp the ovarian pedicle, to decrease the risk of hemorrhage. Bipolar diathermy is safer as the current only passes between the two jaws of the forceps, it is difficult to use for ovarian cautery. A relatively recent modification to ovarian cautery is the transvaginal hydro-laparoscopy (THL). THL has been used for ovarian drilling for polycystic ovary syndrome (PCOS). Transvaginal, ultrasound-guided ovarian interstitial laser treatment does not allow direct visualization of pelvic organs to assess the tubo-ovarian relationship, tubal patency, adhesions, and endometriosis. The cost of laparoscopic ovarian drilling when compared with the cost of ovulation induction using injectible follicle-stimulating hormone (FSH) highlighted that the cost of laparoscopic ovarian drilling using unipolar diathermy was 84% of the cost of one cycle of ovulation induction using FSH.

Keywords

body mass indexin vitro fertilizationlaparoscopic ovarian diathermypolycystic ovarian syndromeovarian hyperstimulation syndromeobesitymenstrual irregularity
Type
Chapter
Information
Ovarian Stimulation , pp. 209 - 216
Publisher: Cambridge University Press
Print publication year: 2010

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