Role of minilaproscopy in evaluation of pelvic adhesions after laparoscopic ovarian electrocautery in patients with polycystic ovarian disease [PCO]

ABSTRACT

This study was performed to evaluate the incidence of pelvic adhesions after laparoscopic ovarian electrocautery, assess the efficacy of Lactated Ringer's solution in prevention of adhesions and lastly to compare the diagnostic accuracy of minilaparoscopy with that of 10 mm laparoscopic. Thirty-five patients with PCOD were selected for this study. These patients had bilateral laparoscopic ovarian drilling by unibolar electrocautery. Lactated Ringer's solution [500 cc] was left intraperitoneally at the end of the procedure in 22 cases designed as group I. While, no fluid was left in the other 13 cases designed as group II. Second-look laparoscopy was done 3-4 weeks later, first by minilaparoscope then by the standard 10 mm laparoscope. The overall incidence of adhesions in this study was 68.65% [24 cases out of 35]. Adhesions were less in group I [59.1%] than in group II [84.6%]. There was no statistically significant difference in the mean adhesion score by minilaparoscope and 10 mm laparoscope. However, there was a significant positive correlation [r = 0.856] when using either of them detect the adhesion score