Book contents
- Frontmatter
- Contents
- List of contributors
- 1 Introduction: Polycystic ovary syndrome is an intergenerational problem
- 2 Introduction and history of polycystic ovary syndrome
- 3 Phenotype and genotype in polycystic ovary syndrome
- 4 The pathology of the polycystic ovary syndrome
- 5 Imaging polycystic ovaries
- 6 Insulin sensitizers in the treatment of polycystic ovary syndrome
- 7 Long-term health consequences of polycystic ovary syndrome
- 8 Skin manifestations of polycystic ovary syndrome
- 9 Lifestyle factors in the etiology and management of polycystic ovary syndrome
- 10 Ovulation induction for women with polycystic ovary syndrome
- 11 Laparoscopic surgical treatment of infertility related to PCOS revisited
- 12 In vitro fertilization and the patient with polycystic ovaries or polycystic ovary syndrome
- 13 Role of hyperinsulinemic insulin resistance in polycystic ovary syndrome
- 14 Novel treatments for polycystic ovary syndrome, including in vitro maturation
- 15 The pediatric origins of polycystic ovary syndrome
- 16 Fetal programming of polycystic ovary syndrome
- 17 Adrenocortical dysfunction in polycystic ovary syndrome
- 18 Polycystic ovary syndrome in Asian women
- 19 Obesity surgery and the polycystic ovary syndrome
- 20 Nutritional aspects of polycystic ovary syndrome
- Index
- References
11 - Laparoscopic surgical treatment of infertility related to PCOS revisited
Published online by Cambridge University Press: 29 September 2009
- Frontmatter
- Contents
- List of contributors
- 1 Introduction: Polycystic ovary syndrome is an intergenerational problem
- 2 Introduction and history of polycystic ovary syndrome
- 3 Phenotype and genotype in polycystic ovary syndrome
- 4 The pathology of the polycystic ovary syndrome
- 5 Imaging polycystic ovaries
- 6 Insulin sensitizers in the treatment of polycystic ovary syndrome
- 7 Long-term health consequences of polycystic ovary syndrome
- 8 Skin manifestations of polycystic ovary syndrome
- 9 Lifestyle factors in the etiology and management of polycystic ovary syndrome
- 10 Ovulation induction for women with polycystic ovary syndrome
- 11 Laparoscopic surgical treatment of infertility related to PCOS revisited
- 12 In vitro fertilization and the patient with polycystic ovaries or polycystic ovary syndrome
- 13 Role of hyperinsulinemic insulin resistance in polycystic ovary syndrome
- 14 Novel treatments for polycystic ovary syndrome, including in vitro maturation
- 15 The pediatric origins of polycystic ovary syndrome
- 16 Fetal programming of polycystic ovary syndrome
- 17 Adrenocortical dysfunction in polycystic ovary syndrome
- 18 Polycystic ovary syndrome in Asian women
- 19 Obesity surgery and the polycystic ovary syndrome
- 20 Nutritional aspects of polycystic ovary syndrome
- Index
- References
Summary
Introduction
Polycystic ovarian syndrome (PCOS) – characterized by chronic anovulation, and/or androgen excess, hypersecretion of luteinizing hormone (LH), obesity, and infertility – is a relatively common condition in women during reproductive years. The consistent morphologic feature is a peripheral ring of small follicles in association with increased ovarian stroma. It remains an incompletely understood entity with varying degrees of severity and partial symptomatologies.
Wedge resection of ovaries has been proposed by Stein in 1935 (Stein and Leventhal 1935). For long it has been the only treatment of polycystic ovaries (PCO). When treatments by antiestrogens (clomiphene citrate) became available (Greenblatt 1961) and when the good results of these treatments were known, the surgical technique which had the inconvenience of periovarian adhesion formation disappeared. Subsequently numerous publications have indicated the interest of laparoscopic techniques (biopsy, cauterization, multi-electrocoagulation, laser, etc.) in cases of non-response to the medical treatments. The first attemps were tried in France thanks to Raoul Palmer's ovarian biopsy forceps (Palmer and Cohen 1965, Cohen et al. 1972a, b).
Techniques
Electrocautery
Biopsy
The first publication concerning pregnancies obtained after laparoscopic ovarian biopsies with cauterization with Palmer forceps date back to 1972. At this time, Cohen and colleagues (Cohen et al. 1972a) reported 21 pregnancies after 51 successive ovarian biopsies. They came to the conclusion that this procedure has a therapeutic effect on some ovarian infertilities (Cohen et al. 1972b).
- Type
- Chapter
- Information
- Polycystic Ovary Syndrome , pp. 159 - 176Publisher: Cambridge University PressPrint publication year: 2007