Polycystic ovary syndrome surgery: Difference between revisions
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{{Polycystic ovary syndrome}} | {{Polycystic ovary syndrome}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{ADG}} | ||
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==Overview== | ==Overview== | ||
Surgery is not considered first-line therapy for PCOS and it does not affect insulin resistance or obesity. Surgery is indicated in the treatment of PCOS only in patients desiring fertility in whom at least 1 year of conservative therapy has failed.<ref name="pmid26841163">{{cite journal |vauthors=Hueb CK, Dias Júnior JA, Abrão MS, Filho EK |title=Drilling: medical indications and surgical technique |journal=Rev Assoc Med Bras (1992) |volume=61 |issue=6 |pages=530–5 |year=2015 |pmid=26841163 |doi=10.1590/1806-9282.61.06.530 |url=}}</ref><ref name="pmid26236709">{{cite journal |vauthors=Lebbi I, Ben Temime R, Fadhlaoui A, Feki A |title=Ovarian Drilling in PCOS: Is it Really Useful? |journal=Front Surg |volume=2 |issue= |pages=30 |year=2015 |pmid=26236709 |pmc=4505069 |doi=10.3389/fsurg.2015.00030 |url=}}</ref> | |||
==Surgery== | ==Surgery== | ||
Surgery is not considered first-line therapy for PCOS and it does not affect insulin resistance or obesity. | |||
===Indication=== | |||
Surgery is indicated in the treatment of PCOS only in patients desiring fertility in whom at least 1 year of conservative therapy has failed | |||
===Surgial options=== | |||
'''Ovarian drilling''' | |||
*Laparoscopic surgery that uses a laser or electrosurgical needle to puncture a number of small follicles visible on the surface of the ovary, which are presumably the source of hormone production | |||
===Complications=== | |||
*Bleeding and/or infection | |||
*Postoperative adhesions | |||
==References== | ==References== | ||
Revision as of 20:28, 2 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Surgery is not considered first-line therapy for PCOS and it does not affect insulin resistance or obesity. Surgery is indicated in the treatment of PCOS only in patients desiring fertility in whom at least 1 year of conservative therapy has failed.[1][2]
Surgery
Surgery is not considered first-line therapy for PCOS and it does not affect insulin resistance or obesity.
Indication
Surgery is indicated in the treatment of PCOS only in patients desiring fertility in whom at least 1 year of conservative therapy has failed
Surgial options
Ovarian drilling
- Laparoscopic surgery that uses a laser or electrosurgical needle to puncture a number of small follicles visible on the surface of the ovary, which are presumably the source of hormone production
Complications
- Bleeding and/or infection
- Postoperative adhesions
References
- ↑ Hueb CK, Dias Júnior JA, Abrão MS, Filho EK (2015). "Drilling: medical indications and surgical technique". Rev Assoc Med Bras (1992). 61 (6): 530–5. doi:10.1590/1806-9282.61.06.530. PMID 26841163.
- ↑ Lebbi I, Ben Temime R, Fadhlaoui A, Feki A (2015). "Ovarian Drilling in PCOS: Is it Really Useful?". Front Surg. 2: 30. doi:10.3389/fsurg.2015.00030. PMC 4505069. PMID 26236709.