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Discussion in 'All Categories' started by suvarna - Dec 9th, 2011 11:18 am.
re: pcod by Dr M K Gupta - Dec 10th, 2011 12:13 am
Dr M K Gupta
Dr M K Gupta
Dear Svarna

The price of Bilateral Laparoscopic Ovarian Drilling Surgery at World Laparoscopy Hospital is going to be 25,000 rupees. Surgery is recommended should the medical treatment fail as well as for ladies who have experienced OHSS. This may be ovarian drilling or ovarian wedge resection.

Laparoscopic ovarian drilling is really a surgical procedure that may trigger ovulation in females with polycystic ovary syndrome (PCOS) who've not taken care of immediately weight reduction and fertility medication. Electrocautery or laser is used to eliminate servings of the ovaries.

Laparoscopy is usually done with general anaesthesia. A little incision is made in the abdomen in the navel. A tube can be used to inflate the abdomen with a little bit of co2 gas therefore the laparoscope can be inserted without damage to the abdominal internal organs. The surgeon looks with the laparoscope in the organs. Surgical instruments might be inserted using it . incision or any other small incisions in the pelvic area.

Case series studies of women with PCOS have reported that ovarian drilling results in an 80% ovulation rate along with a 50% pregnancy rate. The advantage of laparoscopy is the fact that tubal patency could be checked simultaneously in one procedure, and ovarian drilling of either one or both ovaries seems to restore ovulation inside a substantial number of patients. Serum concentrations of LH and testosterone decrease rapidly after ovarian drilling having a sustained mid- and long-term effect. The proportion of women with regular menstrual cycles increases substantially after drilling and is sustained at long-term follow-up. Ovulation and pregnancy rates are substantially increased at that time following the operation and appear to be maintained. Resistance to the results of ovarian drilling include marked obesity, very elevated levels of androgens, and long amount of infertility. Addition of other ovulating agents such as clomiphene citrate or FSH seems to improve the effectiveness of laparoscopic ovarian drilling.

With regards

M.K. Gupta
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