Ovarian Drilling
A laparoscopic surgical procedure using electrocautery or laser to create small holes in polycystic ovaries.
Full Definition
Ovarian drilling, also known as laparoscopic ovarian diathermy, is a minimally invasive surgical treatment for polycystic ovary syndrome (PCOS) when medical management has failed. The procedure involves using electrocautery or laser energy to create 4-10 small punctures in each ovary, which can restore ovulation in women with clomiphene-resistant PCOS. The mechanism is thought to involve reduction of androgens and anti-Müllerian hormone levels, leading to improved follicular development. This procedure is typically considered before moving to more advanced assisted reproductive technologies. Success rates vary, but many patients resume regular ovulation within several months of the procedure.
Usage
Usage note: Specify the number of punctures and energy type used when documenting the procedure.
In Context
- "Following failed clomiphene therapy, the patient was scheduled for laparoscopic ovarian drilling." — Surgical consultation note
- "Ovarian drilling resulted in spontaneous ovulation resumption within three months post-operatively." — Follow-up report