The effect of laparoscopic ovariandrilling on pregnancy outcomes in polycystic ovary syndrome women with more than 2 in-vitro fertilization cycle failures: A pilot RCT. The effect of laparoscopic ovariandrilling (LOD) before in vitro fertilization/ intracytoplasmic sperm injection (IVF/ICSI) cycles on pregnancy outcomes is an unclear and challenging subject. To evaluate the impact of LOD
Comparison of Laparoscopic OvarianDrilling Success between Two Standard and Dose-Adjusted Methods in Polycystic Ovary Syndrome: A Randomized Clinical Trial. One of the treatment methods for increasing the ovarian response to ovulation induction in polycystic ovary syndrome (PCOS) is laparoscopic ovariandrilling (LOD). The optimal amount of the electrosurgical energy discharged in the ovaries
Impact of Ultrasound-Guided Transvaginal Ovarian Needle Drilling Versus Laparoscopic OvarianDrilling on Ovarian Reserve and Pregnancy Rate in Polycystic Ovary Syndrome: A Randomized Clinical Trial. To compare the impact of ultrasound-guided transvaginal ovarian needle drilling (TND) versus laparoscopic ovariandrilling (LOD) on ovarian reserve and pregnancy rate in patients with clomiphene
Laparoscopic ovariandrilling versus GnRH antagonist combined with cabergoline as a prophylaxis against the re-development of ovarian hyperstimulation syndrome. The aim of this work was to investigate the value of laparoscopic ovariandrilling (LOD) compared with GnRH antagonist flexible protocol combined with cabergoline (Cb), as a prophylaxis against the re-development of ovarian
Unilateral Versus Bilateral Laparoscopic OvarianDrilling Using Thermal Dose Adjusted According to Ovarian Volume in CC-Resistant PCOS, A Randomized Study This study aimed to evaluate the efficacy of unilateral laparoscopic ovariandrilling versus bilateral laparoscopic ovariandrilling with thermal dose adjusted according to ovarian volume in clomiphene citrate (CC)-resistant PCOS patients in terms of endocrine changes, menstrual cycle resumption, ovulation and pregnancy rates. This study was conducted in the Department of Obstetrics and Gynecology, Zagazig university hospitals. One hundred CC-resistant PCOS patients were divided into two groups. Group (I) (50 patients) underwent unilateral laparoscopic ovariandrilling with thermal dose adjusted according to ovarian volume (60 J/cm
Ovarian Reserve and Hormone Alteration Following Laparoscopic OvarianDrilling for PCOS PROSPEROInternational prospective register of systematic reviews Print | PDFOvarian Reserve and Hormone Alteration Following Laparoscopic OvarianDrilling for PCOSEthan Slouha, Lucy Clunes, Theofanis Kollias, Jeremy Segal, Colton White, Theresa PallottaTo enable PROSPERO to focus on COVID-19 submissions Segal, Colton White, Theresa Pallotta. Ovarian Reserve and Hormone Alteration Following Laparoscopic OvarianDrilling for PCOS. PROSPERO 2024 CRD42024504304 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024504304Review questionHow is the ovarian reserve and reproductive hormones altered following LOD and how does this relate to menstrual patternsSearchesPubMed - 2003
Unilateral vs Bilateral Laparoscopic OvarianDrilling In Clomiphene Citrate Resistant Cases of Polycystic Ovarian Syndrome The aim of the current study is to compare the efficacy of laparoscopic unilateral ovariandrilling with bilateral ovariandrilling in clomiphene citrate resistant cases of polycystic ovarian syndrome in terms of clinical response (regularity of the cycle), change The clinical response to laparoscopic ovariandrilling (LOD) seems to be thermal energy dose-dependent. Two punctures (300 J) per ovary are associated with poor results. Between three and five (450-750 J) punctures per ovary seem to represent the effective thermal dose. The application of six or more (C900 J) punctures per ovary may result in excessive destruction to the ovary and should therefore
Comparing the efficacy of ovariandrilling compared to medical treatment in polycystic ovarian syndrome PROSPERO International prospective register of systematic reviews Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information
Post-operative ovarian adhesion formation after ovariandrilling: a randomized study comparing conventional laparoscopy and transvaginal hydrolaparoscopy. To compare conventional laparoscopic ovariandrilling (LOD) with transvaginal hydrolaparoscopy (THL) ovariandrilling in terms of ovarian adhesion formation, evaluated using office THL during follow-up in CC-resistant anovulatory patients affected by PCOS. Prospective randomized study on 246 CC-resistant women with PCOS. The patients enrolled were divided into two groups, 123 were scheduled to undergo LOD and 123 to undergo THL ovariandrilling. Six months after the procedure all patients were offered office transvaginal hydrolaparoscopy (THL) follow-up, under local anesthesia to evaluate adhesion formation. Duration of the procedure
Serum anti-Mullerian hormone levels after ovariandrilling for the second-line treatment of polycystic ovary syndrome: a pilot-randomized study comparing laparoscopy and transvaginal hydrolaparoscopy. Aim of the study was to asses and compare serum anti-Mullerian harmone (AMH) levels after laparoscopic ovariandrilling (LOD) and transvaginal hydrolaparoscopy (THL) ovariandrilling in clomifene citrate (CC)-resistant polycystic ovary syndrome (PCOS) patients; secondary outcome was to evaluate postoperative pain to estimate the acceptability of procedures. A total of 246 patients with CC-resistant PCOS were randomized into two groups: 123 underwent LOD and 123 underwent THL ovariandrilling. AMH serum levels were evaluated before and after the procedure; moreover, women were asked to rate pain
Impact of laparoscopic ovariandrilling on serum anti-mullerian hormone levels in patients with anovulatory Polycystic Ovarian syndrome Anti-mullerian hormone (AMH) is a marker of the activity of recruitable ovarian follicles. It is useful in the prediction of ovarian reserve. Women with polycystic ovarian syndrome (PCOS) have elevated circulating and intrafollicular AMH levels. Laparoscopic ovariandrilling (LOD) in patients with PCOS destroys ovarian androgen-producing tissue and reduces their peripheral conversion to estrogens. Identifying factors that determine the response of patients with PCOS to LOD will help in selecting the patients who would likely benefit from this treatment. AMH is one such marker that can predict the response to LOD. To evaluate the effect of LOD on serum AMH
Effect of Laparoscopic OvarianDrilling on Outcomes of In Vitro Fertilization in Clomiphene-Resistant Women with Polycystic Ovary Syndrome Recently the laparoscopic ovariandrilling (LOD) has been used as a surgical treatment for ovulation in women with polycystic ovarian syndrome (PCOS), although its mechanism and outcomes are still unclear. This study was undertaken to evaluate the in vitro and embryos were seen on women without ovariandrilling than women with LOD (P˂0.001 and P=0.033, respectively). There is no difference between the pregnancy rate in both groups. Due to significant reduction in OHSS in women undergoing LOD, this surgical treatment may be considered as a useful technique in the management of patients who have previously developed OHSS. However, there are ongoing concerns
Comparison between Unilateral and Bilateral OvarianDrilling in Clomiphene Citrate Resistance Polycystic Ovary Syndrome Patients: A Randomized Clinical Trial of Efficacy. Laparoscopic ovariandrilling (LOD) is an alternative method to induce ovulation in polycystic ovary syndrome (PCOS) patients with clomiphene citrate (CC) resistant instead of gonadotropins. This study aimed to compare
Randomized controlled trial comparing letrozole with laparoscopic ovariandrilling in women with clomiphene citrate-resistant polycystic ovary syndrome. The aim of the present study was to compare the reproductive outcomes of letrozole and laparoscopic ovariandrilling (LOD) in women with clomiphene citrate (CC)-resistant polycystic ovary syndrome (PCOS). A total of 141 women with CC-resistant
Impact of unilateral versus bilateral laparoscopic ovariandrilling on ovarian reserve and pregnancy rate: a randomized clinical trial. To assess the impact of unilateral dose adjusted ovariandrilling (ULOD) compared to bilateral ovariandrilling (BLOD) on ovarian reserve and pregnancy rate. This randomized clinical study included 105 patients with polycystic ovary syndrome. Patients were
[Using an ovariandrilling by hydrolaparoscopy or recombinant follicle stimulating hormone plus metformin to treat polycystic ovary syndrome: Why a randomized controlled trial fail?] To evaluate pregnancy rates after randomized controlled trial (RCT) between ovariandrilling by fertiloscopy or ovarian hyperstimulation+insemination+metformine after clomifène citrate (cc) treatment fails . Randomized controlled trial with 126 patients in each arm in 9 university centers. After 6-9 months of stimulation by cc, 2 groups were randomized: group 1, ovariandrilling with bipolar energy versus group 2: 3 months treatment by metformine followed by 3 hyperstimulation by FSH+insemination. The success rate was pregnancy rate above 12 weeks. RCT was stopped after the screening of 40 patients. In spite
Therapeutic effects of metformin and laparoscopic ovariandrilling in treatment of clomiphene and insulin-resistant polycystic ovary syndrome. To compare the therapeutic effects of metformin (Met) and laparoscopic ovariandrilling (LOD) in clomiphene and insulin-resistant patients with polycystic ovary syndrome (CIRPCOS). A total of 110 patients were randomly divided into two groups. One group
Comparative study between laparoscopic and ultrasound-guided transvaginal ovariandrilling in polycystic ovary syndrome: A systematic review and Meta-analysis PROSPEROInternational prospective register of systematic reviews Print | PDFComparative study between laparoscopic and ultrasound-guided transvaginal ovariandrilling in polycystic ovary syndrome: A systematic review and Meta . Further detail is provided here.Citationjavad Heshmati, Ahmed Abuzaid. Comparative study between laparoscopic and ultrasound-guided transvaginal ovariandrilling in polycystic ovary syndrome: A systematic review and Meta-analysis. PROSPERO 2023 CRD42023397481 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023397481Review questionWhat is the effect of laparoscopic
Impact of Laparoscopic OvarianDrilling on Ovarian Reserve in Patients With Anovulatory Polycystic Ovarian Syndrome Pneumoperitoneum is done by insertion of the verress needle at the inferior edge of the umbilicus putting into consideration the following tests:Needle test: Verress needle patency check.Hissing phenomenon: Needle introduced by open valve mechanism.Aspiration test: Placing a drop
Metformin versus laparoscopic ovariandrilling to treat patients with clomiphene citrate-resistant polycystic ovary syndrome: A systematic review and meta-analysis Metformin versus laparoscopic ovariandrilling to treat patients with clomiphene citrate-resistant polycystic ovary syndrome: A systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named