ovarian drilling
A laparoscopic surgical technique using electrocautery to create multiple small holes in polycystic ovaries to restore ovulation.
Full Definition
Ovarian drilling, also known as laparoscopic ovarian diathermy, is a minimally invasive surgical procedure used to treat anovulation in women with polycystic ovary syndrome who are resistant to ovulation induction medications. The procedure involves using electrocautery or laser energy to create 4-10 small puncture holes in each ovarian surface, which reduces androgen production and often restores spontaneous ovulation. The mechanism is thought to involve destruction of androgen-producing stromal tissue and reduction in inhibin levels, leading to improved FSH sensitivity. While the procedure can be effective for inducing ovulation and pregnancy, potential risks include adhesion formation and possible reduction in ovarian reserve, making careful patient selection essential.
Usage
Usage note: Also called laparoscopic ovarian diathermy; specify energy settings when documenting.
In Context
- "Ovarian drilling was performed bilaterally using electrocautery at 40 watts for 4 seconds per puncture." — Surgical procedure report
- "The patient demonstrated spontaneous ovulation three months following ovarian drilling surgery." — Post-operative follow-up note