Fertility and Sterility, 56(6), 1176-1178
The incidence and fertility effects of postoperative adhesion formation after laparoscopic ovarian electrocautery or laser photocoagulation of polycystic ovaries has not been adequately analyzed. Short-interval second-look laparoscopy appears to be a useful method for addressing this issue. Employing short-interval second-look laparoscopy 3 to 4 weeks after the initial laparoscopic intervention, we were able to demonstrate adhesions in 6 of 7 patients (85%) treated with ovarian electrocautery and 8 of 10 patients (80%) submitted to laser therapy. The adhesions were amenable to laparoscopic lysis in 12 of 14 patients (85%). The subsequent conception rates within 6 months of second-look laparoscopy that were 57% and 40% in the electrocautery and the Nd:YAG laser groups, respectively, may in part be attributed to the restoration of normal pelvic anatomy during this procedure.
Gürgan, T., Kişnişçi, H., Yarali, H., Develioğlu, O., Zeyneloğlu, H., & Aksu, T. (1991). Evaluation of adhesion formation after laparoscopic treatment of polycystic ovarian disease. *Fertility and sterility*, *56*(6), 1176-1178. https://doi.org/10.1016/s0015-0282(16)54737-2
Gürgan T, Kişnişçi H, Yarali H, Develioğlu O, Zeyneloğlu H, Aksu T. Evaluation of adhesion formation after laparoscopic treatment of polycystic ovarian disease. Fertil Steril. 1991;56(6):1176-1178. doi:10.1016/s0015-0282(16)54737-2
Gürgan, T., et al. "Evaluation of adhesion formation after laparoscopic treatment of polycystic ovarian disease." *Fertility and sterility*, vol. 56, no. 6, 1991, pp. 1176-1178.
Adult, Electrocoagulation/adverse Effects, Female, Fertility, Humans, Laparoscopy, Laser Therapy/adverse Effects, Light Coagulation/adverse Effects, Ovarian Diseases/etiology, Ovulation, Polycystic Ovary Syndrome/surgery, Postoperative Period, Tissue Adhesions/etiology