Lap drilling for Polycystic ovary syndrome (PCOS)
Polycystic ovary syndrome is a state of hormone imbalance noticed in women which can potentially make them infertile. In laparoscopic ovarian disease procedure, a laser beam is used to destroy the ovaries. It has been found that destroying the ovaries by drilling them can make women ovulating. It has also been found that ovarian drilling can make the menstrual cycle more regular. This surgery is not generally advised by physicians. But for woman who are not ovulating after trying fertility medicines and after losing weight by dieting, this can be considered as an option.
This procedure is usually done under laparoscopic surgery after giving general anesthesia. A small amount of carbon dioxide is pumped in through a tube inserted to enlarge the belly to enable the insertion of laparoscope without causing any damage to the internal organs. Through laparoscope the surgeon views the internal organs. Surgical instruments are now inserted through other incisions in the pelvic area. It has been found that this procedure has been successful in more than 50 % of the women who tried this method.
There are some probable risk factors in this surgery also as in all other surgeries. The important risk factors include accidental injuries that may be caused to the internal organs by the laparoscope and other miniature surgical instruments. Infection and bleeding are other usual risks that may accompany a laparoscopic surgery. Consequences of anesthesia and scaring or adhesions inside the body are also possible risk factors.
Because the incision is very small the pain and blood loss will be less in laparoscopic surgery. The recovery time needed will be much less and the patient can recover normal condition within 24 hours. She will be able to attend to her normal work within one or two days after the surgery.
Dr.Kalpana in a panel on PCOS infertility Indian fertility society conference