Incidence of peri-tubal and ovarian adhesions following laparoscopic ovarian drilling (LOD) observed opportunistically at subsequent caesarean sections

Abstract

The frequently performed procedure of laparoscopic ovarian drilling (LOD) is not without possible adverse effects on fertility. There is little uniformity in the technique or assessment of outcome or complications. The study aims to make gynaecologists aware of the frequency of one such complications even when and where the treatment goal of pregnancy has been achieved This leaves one wondering what the contribution of LOD could be where pregnancy has not followed despite evidence of ovulation possibly by causing interference with tubal function and ovarian entrapment. The degree of adhesions calls for restraint and due care when handling and unleashing energy on the ovaries during a mundane routine procedure often performed by trainees. Objective: To assess the extent to which the LOD could result in the formation of peri-tubal and ovarian (adnexal) adhesions, as seen opportunistically at subsequent caesarean sections. This is therefore only in instances where the procedure has been successful in resulting in a pregnancy.