Ramesh P
BACKGROUND Poly Cystic Ovarian Syndrome (PCOS) is the most frequently encountered endocrinopathy in women, occurring in 4-7% of population. Many treatment options have been described including surgical methods. Wedge resection which was once the procedure of choice lost popularity from the 1990s after the advent of ovarian drilling. The objective of the study is to assess whether laparoscopic ovarian wedge resection is effective in resistant cases of polycystic ovarian syndrome. MATERIALS AND METHODS We did a prospective study involving 35 PCOS patients with history of failed medical therapy or ovarian drilling. All of them underwent ovarian wedge resection and were subjected to ovulation induction from next cycle. They were followed up for cycle improvement and/or conception in the following 6-month period. RESULTS Cycle improvement and ovulation was seen in 91% of the patients within 6 months following wedge resection. The conception rate was 29% in 6 months. Those who had previous failed drilling, 27% conceived after wedge resection. Eighty percent of those who conceived had altered LH: FSH ratio. CONCLUSION Laparoscopic ovarian wedge resection is a good alternative procedure for patients resistant to conventional methods of medical and surgical ovulation induction. It gives a good ovulation rate and reasonably good pregnancy rate.
