Fertility and sterility · 2008
Transvaginal hydrolaparoscopy in the treatment of polycystic ovary syndrome.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Gordts Stephan, Gordts Sylvie, Puttemans Patrick, Valkenburg Marion, Campo Rudi, Brosens Ivo
Аннотация
OBJECTIVE: To evaluate the efficacy of transvaginal endoscopic ovarian capsule drilling.
DESIGN: Retrospective efficacy study.
SETTING: Private tertiary care center.
PATIENT(S): Thirty-nine PCOS patients with previously failed ovulation induction; mean duration of infertility 26.5 months (SD +/-2.6); mean age 30.38 years (SD +/-3.8); mean body mass index of 29.4 (SD +/-9.7).
INTERVENTION(S): Through transvaginal hydrolaparoscopy in a 1-day clinic setting, drilling of the ovarian capsule is performed with a 5-Fr bipolar needle (Karl Storz, Tüttlingen, Germany) creating 10-15 holes of +/-0.20 mm in each ovary.
MAIN OUTCOME MEASURE(S): Evaluation of feasibility, spontaneous resumption of ovulatory cycles and pregnancy rates.
RESULT(S): Ovarian capsule drilling was performed in 39 patients. Six patients were lost of follow-up. In total, 25 out of 33 patients (76%) became pregnant with a mean duration between procedure and onset of pregnancy of 7.2 months (SD +/-5.4). Natural conception with or without controlled ovarian hyperstimulation and/or intrauterine insemination occurred in 13 of the 16 patients (81%). Of the 17 patients referred to our IVF program, 12 became pregnant. There were no multiple pregnancies or complications.
CONCLUSION(S): The transvaginal approach for ovarian capsule drilling offers a valuable alternative to the standard laparoscopic procedure.
DESIGN: Retrospective efficacy study.
SETTING: Private tertiary care center.
PATIENT(S): Thirty-nine PCOS patients with previously failed ovulation induction; mean duration of infertility 26.5 months (SD +/-2.6); mean age 30.38 years (SD +/-3.8); mean body mass index of 29.4 (SD +/-9.7).
INTERVENTION(S): Through transvaginal hydrolaparoscopy in a 1-day clinic setting, drilling of the ovarian capsule is performed with a 5-Fr bipolar needle (Karl Storz, Tüttlingen, Germany) creating 10-15 holes of +/-0.20 mm in each ovary.
MAIN OUTCOME MEASURE(S): Evaluation of feasibility, spontaneous resumption of ovulatory cycles and pregnancy rates.
RESULT(S): Ovarian capsule drilling was performed in 39 patients. Six patients were lost of follow-up. In total, 25 out of 33 patients (76%) became pregnant with a mean duration between procedure and onset of pregnancy of 7.2 months (SD +/-5.4). Natural conception with or without controlled ovarian hyperstimulation and/or intrauterine insemination occurred in 13 of the 16 patients (81%). Of the 17 patients referred to our IVF program, 12 became pregnant. There were no multiple pregnancies or complications.
CONCLUSION(S): The transvaginal approach for ovarian capsule drilling offers a valuable alternative to the standard laparoscopic procedure.