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  • Title: Evaluation of adhesion formation after laparoscopic treatment of polycystic ovarian disease.
    Author: Gürgan T, Kişnişçi H, Yarali H, Develioğlu O, Zeyneloğlu H, Aksu T.
    Journal: Fertil Steril; 1991 Dec; 56(6):1176-8. PubMed ID: 1835936.
    Abstract:
    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.
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