Surgery:Long-term follow-up in 206 infertility patients with polycystic ovarian syndrome after laparoscopic electrocautery of the ovarian surface

Abstract

In recent publications we have demonstrated that laparoscopic electrocautery of the ovarian surface (LEOS) is an effective method to reduce serum androgen concentrations, normalizing ovarian cycle length and the ovarian reaction to hormonal stimulation therapy in anovulatory patients with polycystic ovarian disease (PCOD). In this paper we show that these effects are not only temporary. Data from 206 patients undergoing LEOS and monitored for up to 72 months after surgery are evaluated; 145 patients achieved a total of 211 conceptions, giving a pregnancy rate of 70%, with a maximum of four conceptions in one patient. There were 38 early miscarriages (18%) and two late pregnancy losses as well as three ectopic implantations.

Office microlaparoscopic ovarian drilling versus conventional laparoscopic ovarian drilling for women with polycystic ovary syndrome

“…This simple procedure appears to be particularly useful for outpatient microlaparoscopies, in which the average discharge time is 2 to 3 h after the operation. The effect of local anesthesia is temporary; however, this approach allows the possibility of a quicker discharge at 2 h after surgery [19][20][21][22][23][24].…”

Laparoscopic ovarian drilling (LOD) in patients with polycystic ovary syndrome (PCOS): an alternative approach to medical treatment?

“…Whereas some authors describe only transient beneficial results of approximately 1 year [16, 20, 25], the positive effects might last much longer, for a number of years [56,65,38].…”

Laparoskopisches ovarielles Drilling bei polyzystischem Ovarsyndrom zur Erzielung ovulatorischer Zyklen

“…Während einzelne Autoren eher transiente Effekte beschreiben [8,24,26] , sind in anderen Studien auch mehrjährige Effekte nachgewiesen worden [11,30,31] .…”

“…Naether et al [30] haben in einer Langzeitnachbeobachtungsstudie von insgesamt 211 Schwangerschaften berichtet. Darunter waren 50% spontane Schwangerschaften, die unmittelbar auf den operativen Eingriff zurückgeführt werden könnten.…”