Incidence of adhesions formation following laparoscopic ovarian endocoagulation in polycystic ovarian disease

ABSTRACT

The aim of this study was to evaluate the incidence of adhesions following laparoscopic thermocoagulation of the ovaries in twenty patients with polycytic ovarian disease [PCOD]. A second look laparoscopic examination was done after an average duration of 5. 31 months and after exclusion of pregnancy. Five cases [2.5%] achieved pregnancy four to seven months following the procedure. Laparoscopic findings of ovulatory response were found in another five cases [25%]. The second look revealed on pelvic adhesions except in four cases [26.67%] in whom the adhesions were single thin vascular bands. Tubal patency was confirmed in 14 cases [93.33%] and one single case [6.67%] showed unilateral fimbrial obstruction following the procedure