Assessment of three-dimensional sonographic features of polycystic ovaries after laparoscopic ovarian electrocautery

Vizer, Miklós; Kiesel, L.; Szabó, István; Arany, A.; Tamás, Péter; Szilágyi, András

doi:10.1016/j.fertnstert.2006.08.117

Cited by 16 publications

(10 citation statements)

References 35 publications

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“…These results are in agreement with many previous reports (11,12,14,15,25). In contrast, Vizer and co-workers (13) reported an increased intraovarian blood flow after the procedure.…”

Section: Discussionsupporting

confidence: 93%

“…There are few studies addressing the effects of LOD on ovarian stromal blood flow using 3D power Doppler ultrasonography in women with PCOS (12)(13)(14). Evaluation of ovarian stromal blood flow before and after LOD may be considered a way to study the effects of this therapeutic intervention or the mechanism by which the ovary may respond (15).…”

Section: Introductionmentioning

confidence: 99%

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Three-dimensional power Doppler indices of ovarian stromal blood flow and serum vascular endothelial growth factor after laparoscopic ovarian drilling in women with polycystic ovary syndrome

Al-Rab

Mohammed

Hassan

et al. 2015

Middle East Fertility Society Journal

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Objective: To evaluate the effects of laparoscopic ovarian drilling (LOD) on threedimensional (3D) power Doppler indices of ovarian stromal blood flow and serum vascular endothelial growth factor (VEGF) levels in women with polycystic ovary syndrome (PCOS).Design: Prospective controlled study. Setting: Minia University Hospital, Minia, Egypt. Material and methods: 30 clomiphene citrate resistant women with PCOS undergoing LOD and 30 fertile women with normal ovaries were recruited in this study. Hormonal profile, Doppler indices of ovarian stromal blood flow and serum VEGF assays before and after LOD were evaluated and compared between the two groups. Evaluation was done at the beginning of the study, 1 week after LOD and at 3 and 6 month follow up periods.Main outcome measures: 3-D power Doppler indices of both ovaries and serum VEGF concentration.Results: Before LOD, serum levels of VEGF, total testosterone (T), free androgen index (FAI), LH, LH:FSH ratio, total antral follicle count (AFC), total ovarian volume (OV) and the 3D power Doppler blood flow indices were significantly higher in the PCOS group than in the control group. After LOD, there was a significant reduction in the serum levels of VEGF, T, sex-hormone binding

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“…These results are in agreement with many previous reports (11,12,14,15,25). In contrast, Vizer and co-workers (13) reported an increased intraovarian blood flow after the procedure.…”

Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Three-dimensional power Doppler indices of ovarian stromal blood flow and serum vascular endothelial growth factor after laparoscopic ovarian drilling in women with polycystic ovary syndrome

Al-Rab

Mohammed

Hassan

et al. 2015

Middle East Fertility Society Journal

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“…This finding is supported by the fact that several studies found signs of diminished ovarian reserve after ovarian drilling. Lower ovarian volume, antral follicle count, inhibin and anti-M€ ullarian hormone levels, and higher follicle-stimulating hormone concentrations were seen after surgery (11)(12)(13)(14)(15)(16). Furthermore, less ovarian hyperstimulation syndrome is found in in vitro fertilization cycles performed after ovarian drilling (33), which is suggestive of a smaller follicular pool.…”

Section: Bovine Versus Human Ovariesmentioning

confidence: 97%

“…This is remarkable, as the inflicted ovarian damage is permanent and could bear essential consequences for the long term fertility prognosis. There are concerns for imminent and premature ovarian failure as several studies have found signs of diminished ovarian reserve after ovarian drilling (11)(12)(13)(14)(15)(16). Ovarian atrophy has been reported as well (17).…”

mentioning

confidence: 99%

Extensive tissue damage of bovine ovaries after bipolar ovarian drilling compared to monopolar electrocoagulation or carbon dioxide laser

Hendriks

Valk

Lambalk

et al. 2010

Fertility and Sterility

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“…The effect of laparoscopic drilling on the ovarian stromal blood flow indices in PCOS patients has not yet been evaluated by sufficient studies. Parsanezhad et al, 2003and Wu et al, 2004 concluded that ovarian stromal blood flow velocity is decreased after LOD (4,16,17) , but Vizer et al, 2007 showed in their study that ovarian stromal blood flow velocity is increased after this procedure (18) , so more researches should be done to explore the relation between LOD, ovarian stromal blood flow and ovarian steroidogenesis (19) .…”

Section: Introductionmentioning

confidence: 99%

Ovarian Stromal Blood Flow After Laparoscopic Ovarian Drilling in Women With Polycystic Ovary Syndrome

Ismail¹,

Azzam²,

Al-Sayed³

et al. 2015

Zagazig University Medical Journal

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Background: Women with polycystic ovary syndrome have significant difference in their ovarian stromal blood flow indices when compared to women with normal ovaries. The intra-ovarian blood flow is assessed by studying small arteries in the ovarian stroma not close to the surface of the ovary or near the wall of the follicles. Aim: To assess the value of changes in Doppler indices of ovarian stromal blood flow and hormonal profile in women with PCOS and previously described as being clomiphene citrate resistant in predicting the clinical outcome of laparoscopic ovarian drilling as regard ovulation. Study design: This study is interventional study.

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Assessment of three-dimensional sonographic features of polycystic ovaries after laparoscopic ovarian electrocautery

Cited by 16 publications

References 35 publications

Three-dimensional power Doppler indices of ovarian stromal blood flow and serum vascular endothelial growth factor after laparoscopic ovarian drilling in women with polycystic ovary syndrome

Three-dimensional power Doppler indices of ovarian stromal blood flow and serum vascular endothelial growth factor after laparoscopic ovarian drilling in women with polycystic ovary syndrome

Extensive tissue damage of bovine ovaries after bipolar ovarian drilling compared to monopolar electrocoagulation or carbon dioxide laser

Ovarian Stromal Blood Flow After Laparoscopic Ovarian Drilling in Women With Polycystic Ovary Syndrome

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