Abd El-Gaber Ali
Egypt
Case Report
A Modified Technique of Laparoscopic Ovarian Drilling for Polycystic Ovary Syndrome Using Harmonic Scalpel
Author(s): Ahmed AM Nasr, Abd El-Naser, Abd El-Gaber Ali, Mohamed Abd El-Sattar, A Abd El Mgeed and Mohammad M AbolfotouhAhmed AM Nasr, Abd El-Naser, Abd El-Gaber Ali, Mohamed Abd El-Sattar, A Abd El Mgeed and Mohammad M Abolfotouh
Objective: To review our experience with a modified technique of laparoscopic ovarian drilling (LOD) using harmonic scalpel as a new energy modality and to compare its effect with electrocautery in managing Clomiphene resistant polycystic ovary syndrome as regard to ovulation rate, pregnancy rate, hormonal profile and ultrasonographic changes that reflect ovarian reserve and reproductive outcome.
Patients and methods: Sixty patients presented by infertility due to PCOS were randomly allocated into two equal groups. Group I was subjected to laparoscopic ovarian drilling using electrocautery and Group II were subjected to laparoscopic ovarian drilling using harmonic scalpel. All patients were assessed twice (before the induction procedure and three months later, if pregnancy did not occur). Patients were assessed clinically (to determine menstrual regularity and body mass index).. View More»
