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Chapter 12 - Ovarian Surgery for Ovulation Induction

Published online by Cambridge University Press:  13 May 2022

By
Gabor T. Kovacs
Edited by
Gabor T. Kovacs ,
Bart Fauser  and
Richard S. Legro
Gabor T. Kovacs
Affiliation:
Monash University, Melbourne, Australia
Bart Fauser
Affiliation:
University Medical Center, Utrecht, Netherlands
Richard S. Legro
Affiliation:
Penn State Medical Center, Hershey, PA, USA
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Summary

Although the history of polycystic ovary syndrome (PCOS) was discussed in detail in Chapter 1, a brief review here is warranted. Stein and Leventhal were not only the first to describe the condition in 1934/5;[1] they also reported on a surgical treatment for anovulation, which resulted in two pregnancies. By 1964, Stein reported on a successful series of 108 anovulatory PCOS women treated by bilateral ovarian wedge resection (BOWR).[2]

Type
Chapter
Information
Polycystic Ovary Syndrome , pp. 110 - 120
Publisher: Cambridge University Press
Print publication year: 2022

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References

Stein, I. F. and Leventhal, M. L. Amenorrhoea associated with bilateral polycystic ovaries. Am J Obstet Gynecol 1935; 29(2): 181–191.CrossRefGoogle Scholar
Stein, I. F. Duration of fertility following ovarian wedge resection: Stein-Leventhal syndrome. West J Surg Obstet Gynecol 1964; 72: 237–242.Google Scholar
Toaff, R., Toaff, M. E. and Peyser, M. R. Infertility following wedge resection of the ovaries. Am J Obstet Gynecol 1976; 124(1): 92–96.CrossRefGoogle ScholarPubMed
Palmer, R. and Cohen, J. Biopsies percoelioscopiques. Minerva Gynaecol 1965; 17: 238–239.Google Scholar
Cohen, J., Audebert, A., de Brux, J. and Giorgi, H. Sterility due to dysovulation: Prognostic and therapeutic role of ovarian biopsy during calioscopy. J Gynecol Obstet Biol Reprod (Paris) 1972; 1: 657–671.Google Scholar
Cohen, J. Laparoscopic surgical treatment of infertility related to PCOS revisited. In Kovacs, G. T. and Norman, R., eds. Polycystic Ovary Syndrome. Cambridge: Cambridge University Press, 2007, 159–176.Google Scholar
Gjönnaess, H. Polycystic ovarian syndrome treated by ovarian electrocautery through the laparoscope. Fertil Steril 1984; 41: 20–25.CrossRefGoogle ScholarPubMed
Daniell, J. F. and Miller, W. Polycystic ovaries treated by laparoscopic laser vaporization. Fertil Steril 1989; 51: 232–236.CrossRefGoogle ScholarPubMed
Petrucco, O. M. Laparoscopic CO2 laser drilling of sheep ovaries: Interval assessment of histological changes and adhesion formation. Abstracts of the Seventh Annual Scientific Meeting of The Fertility Society of Australia, Newcastle; 1988: 21.Google Scholar
Keckstein, J. Laparoscopic treatment of polycystic ovarian syndrome. Bailliere Clin Obstet Gynaecol 1989; 3(3): 563–581.CrossRefGoogle ScholarPubMed
Asada, H., Kishi, I., Kaseda, S. et al. Laparoscopic treatment of polycystic ovaries with the holmium: YAG laser. Fertil Steril 2002; 77: 852–853.CrossRefGoogle ScholarPubMed
Gürgan, T., Yarali, H. and Urman, B. Laparoscopic treatment of polycystic ovarian disease. Hum Reprod 1994; 9: 573–577.Google Scholar
Heylen, S. M., Puttemans, P. J. and Brosens, I. A. Polycystic ovarian disease treated by laparoscopic argon laser capsule drilling: Comparison of vaporization versus perforation technique. Hum Reprod 1994; 9: 1038–1042.CrossRefGoogle ScholarPubMed
Farquhar, C., Vandekerckhove, P., Arnot, M. and Lilford, R. Laparoscopic “drilling” by diathermy or laser for ovulation induction in anovulatory polycystic ovary syndrome. Cochrane Database Syst Rev 2000; 2: CD001122.Google Scholar
Balen, A. H. and Jacobs, H. S. A prospective study comparing unilateral and bilateral laparoscopic ovarian diathermy in women with the polycystic ovary syndrome. Fertil Steril 1994; 62: 921–925.CrossRefGoogle ScholarPubMed
Abu Hashim, H., Foda, O. and El Rakhawy, M. Unilateral or bilateral laparoscopic ovarian drilling in polycystic ovary syndrome: A meta-analysis of randomized trials. Arch Gynecol Obstet 2018; 297(4): 859–87.Google Scholar
Gordts, S., Campo, R., Rombauts, L. and Brosens, I. Transvaginal hydrolaparoscopy as an outpatient procedure for infertility investigation. Hum Reprod 1998; 13: 99–103.Google Scholar
Gordts, S., Gordts, S., Puttemans, P. et al. Transvaginal hydrolaparoscopy in the treatment of polycystic ovary syndrome. Fertil Steril 2009; 91: 2520–2526.Google Scholar
Fernandez, H., Watrelot, A., Alby, J. et al. Fertility after ovarian drilling by transvaginal fertiloscopy for treatment of polycystic ovary syndrome J Am Assoc Gynecol Laparosc 2004; 11(3): 374–378.Google Scholar
Giampaolino, P., deRosa, N., Della Corte, L. et al. Operative transvaginal hydrolaparoscopy improve ovulation rate after clomiphene failure in polycystic ovary syndrome. Gynecol Endocrinol 2018; 34(1): 32–35.CrossRefGoogle ScholarPubMed
Fernandez, H., Cedrin-Durnerin, I., Gallot, V. et al. Using an ovarian drilling by hydrolaparoscopy or recombinant follicle stimulating hormone plus metformin to treat polycystic ovary syndrome: Why a randomized controlled trial fail? J Gynecol Obstet Biol Reprod (Paris) 2015; 44(8): 692–698.Google Scholar
Badawy, A., Khiary, M., Ragab, A., Hassan, M. and Sherief, L. Ultrasound-guided transvaginal ovarian needle drilling (UTND) for treatment of polycystic ovary syndrome: A randomized controlled trial. Fertil Steril 2009; 91: 1164–1167.Google Scholar
Zhu, W., Fu, Z., Chen, X. et al. Transvaginal ultrasound-guided ovarian interstitial laser treatment in anovulatory women with polycystic ovary syndrome: A randomized clinical trial on the effect of laser dose used on the outcome. Fertil Steril 2010; 94: 268–275.Google Scholar
Api, M. Could transvaginal, ultrasound-guided ovarian interstitial laser treatment replace laparoscopic ovarian drilling in women with polycystic ovary syndrome resistant to clomiphene citrate. Fertil Steril 2009; 6: 2039–2040.CrossRefGoogle Scholar
Kaya, H., Sezik, M. and Ozkaya, O. Evaluation of a new surgical approach for the treatment of clomiphene citrate-resistant infertility in polycystic ovary syndrome: laparoscopic ovarian multi-needle intervention. J Minim Invasive Gynecol 2005; 12: 355–358.CrossRefGoogle ScholarPubMed
Jansen, F. W., Kapiteyn, K., Trimbos-Kemper, T., Hermans, J. and Trimbos, J. B. Complications of laparoscopy: A prospective multicentre observational study. Br J Obstet Gynaecol 1997; 104(5): 595–600.Google Scholar
Harkki-Siren, P., Sjoberg, J. and Kurki, T. Major complications of laparoscopy: A follow-up Finnish study. Obstet Gynecol 1999; 94(1): 94–98.Google ScholarPubMed
Fisher, R. and Naether, O. G. Adhesion formation after laparoscopic electrocoagulation of the ovarian surface in polycystic ovary patients. Fertil Steril 1993; 60(1): 95–98.Google Scholar
Mercorio, F., Mercorio, A., Di Spiezio Sardo, A., Barba, G. V., Pellicano, M. and Nappi, C. Evaluation of ovarian adhesion formation after laparoscopic ovarian drilling by second-look minilaparoscopy. Fertil Steril 2007; 88: 894–899.Google Scholar
Giampaolino, P. , Morra, I. , Tommaselli, G. A., di Carlo, C., Nappi, C. and Bifulco, G. Post-operative ovarian adhesion formation after ovarian drilling: A randomized study comparing conventional laparoscopy and transvaginal hydrolaparoscopy. Arch Gynecol Obstet 2016; 294(4): 791–796.Google Scholar
Api, M. Is ovarian reserve diminished after laparoscopic ovarian drilling? Gynecol Endocrinol 2009; 25: 159–165.Google Scholar
Weerakiet, S., Lertvikool, S., Tingthanatikul, Y., Wansumrith, S., Leelaphiwat, S. and Jultanmas, R. Ovarian reserve in women with polycystic ovary syndrome who underwent laparoscopic ovarian drilling. Gynecol Endocrinol 2007; 2: 1–6.Google Scholar
Hendriks, M.-L., van der Valk, P., Lambalk, C. B. et al. Extensive tissue damage of bovine ovaries after bipolar ovarian drilling compared to monopolar electrocoagulation or carbon dioxide laser. Fertil Steril 2010; 93: 969–975.CrossRefGoogle ScholarPubMed
Vizer, M., Kiesel, L., Szabó, I. et al. Assessment of three-dimensional sonographic features of polycystic ovaries after laparoscopic ovarian electrocautery. Fertil Steril 2007; 88: 894–899.Google Scholar
Lunde, O., Djoselend, O. and Grottum, P. Polycystic ovarian syndrome: A follow-up study on fertility and menstrual pattern in 149 patients 15–25 years after ovarian wedge resection. Hum Reprod 2001; 16: 1479–1485.Google Scholar
Kovacs, G., Buckler, H., Bangah, M. et al. Treatment of anovulation due to polycystic ovarian syndrome by laparoscopic ovarian electrocautery. Br J Obstet Gynaecol 1991; 98: 30–35.Google Scholar
Farquhar, C. M. An economic evaluation of laparoscopic ovarian diathermy versus gonadotrophin therapy for women with clomiphene citrate-resistant polycystic ovarian syndrome Curr Opin Obstet Gynecol 2005; 17(4): 347–353.CrossRefGoogle ScholarPubMed
DeFrene, V., Gerris, J., Weyers, S. et al. Gonadotropin therapy versus laparoscopic ovarian drilling in clomiphene citrate-resistant polycystic ovary syndrome patients: A retrospective cost-effectiveness analysis. Gynecol Obstet Invest 2015; 80(3): 164–169.Google Scholar
Campo, S. Ovulatory cycles, pregnancy outcome and complications after surgical treatment of polycystic ovary syndrome. Obstet Gynecol Surv 1998; 53: 297–308.CrossRefGoogle ScholarPubMed
Amer, S. A., Laird, S., Ledger, W. L. and Li, T. C. Effect of laparoscopic ovarian diathermy on circulating inhibin B in women with anovulatory polycystic ovary syndrome. Hum Reprod 2007; 22: 389–394.Google Scholar
Seow, K. M., Juan, C. C., Hwang, J. L. and Ho, L. T. Laparoscopic surgery in polycystic ovary syndrome: Reproductive and metabolic effects. Semin Reprod Med 2008; 26: 101–110.Google Scholar
Felemban, A., Tan, S. L. and Tulandi, T. Laparoscopic treatment of polycystic ovaries with insulated needle cautery: A reappraisal. Fertil Steril 2000; 73(2): 266–269.CrossRefGoogle ScholarPubMed
Thessaloniki ESHRE/ASRM-sponsored PCOS Consensus Workshop Group. Consensus on infertility treatment related to polycystic ovary syndrome. Hum Reprod 2008; 23: 462–477.Google Scholar
Bordewijk, E. M., Ng, K. Y. B., Rakic, L. et al. Laparoscopic ovarian drilling for ovulation induction in women with anovulatory polycystic ovary syndrome. Cochrane Database Syst Rev. 2020; 2(2): CD001122.Google Scholar
Teede, H., Misso, M. , Costello, M. et al. International Evidence-Based Guideline for the Assessment and Management of Polycystic Ovary Syndrome. Melbourne: Monash University and NHMRC, Centre for Research Excellence in PCOS and the Australian PCOS Alliance, 2018.Google Scholar
Hamed, H. O., Hasan, A. F., Ahmed, O. G. and Ahmed, M. A. Metformin versus laparoscopic ovarian drilling in clomiphene- and insulin-resistant women with polycystic ovary syndrome. Int J Gynaecol Obstet 2010; 108(2): 143–147.Google Scholar
Palomba, S., Orio, F., Jr., Nardo, L. G. et al. Metformin administration versus laparoscopic ovarian diathermy in clomiphene citrate-resistant women with polycystic ovary syndrome: A prospective parallel randomized double-blind placebo-controlled trial. J Clin Endocrinol Metab 2004; 89(10): 4801–4809.Google Scholar
Abu Hashim, H., Foda, O., Ghayaty, E. and Elawa, A. Laparoscopic ovarian diathermy after clomiphene failure in polycystic ovary syndrome: Is it worthwhile? A randomized controlled trial. Arch Gynecol Obstet 2011; 284(5): 1303–1309.Google Scholar
Amer, S. A., Li, T. C., Metwally, M., Emarh, M. and Ledger, W. L. Randomized controlled trial comparing laparoscopic ovarian diathermy with clomiphene citrate as a first-line method of ovulation induction in women with polycystic ovary syndrome. Hum Reprod 2009; 24(1): 219–225.Google Scholar
Farquhar, C. , Brown, J. and Marjoribanks, J. Laparoscopic drilling by diathermy or laser for ovulation induction in anovulatory polycystic ovary syndrome. Cochrane Database Syst Rev 2012; 6: CD001122.Google Scholar

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