Temporary Ovarian Suspension: An Overview

JOURNAL TITLE: International Journal of Gynecological Endoscopy

Author
1. Nutan Jain
2. Kaustubh Srivastava
3. Anshu Agarwal
4. Vandana Jain
ISSN
DOI
10.5005/jp-journals-10058-0028
Volume
2
Issue
1
Publishing Year
2018
Pages
5
Author Affiliations
1. com.mps.common.model.Contributor@ea829c3 ,
2. com.mps.common.model.Contributor@8af125c ,
3. com.mps.common.model.Contributor@71e66930 ,
4. com.mps.common.model.Contributor@492457af
Article keywords
Adhesions, Endometriosis, Temporary ovarian suspension

Abstract

Objective: To assess the efficacy of temporary ovarian suspension following laparoscopic surgery for severe pelvic endometriosis in the prevention of postoperative ovarian adhesions and its correlation with the pregnancy outcome. Study design: Prospective double-blind randomized controlled trial. Materials and methods: The study was conducted in the Department of Obstetrics and Gynaecology, Vardhman Laparoscopy Centre from January 1, 2011 to September 30, 2017 on 100 endometriotic patients. Results: On ultrasonographic follow-up, the study group showed significantly lesser incidence of readhesions compared with control group (20% vs 65%). Of these, 28 conceived (56%): 4 delivered, 22 pregnancy continues (85%), and 2 woman had an ectopic pregnancy. Five patients had a second-look laparoscopy out of which in 4 cases (80%), we found no evidence of recurrent adhesions. Only 1 patient had minimal adhesions. Conclusion: The study suggests that temporary ovarian suspension could be an effective and feasible surgical technique, which might actually help reduce postoperative adhesion.

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved

Powered by MPS ScholarStor