الفهرس 
Material and methodsOnly 14 pages are availabe for public view
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Abstract
Th is study was conducted for evaluation and lysis of
adhesions after vlaparoscopic unipolar drilling of polycystic
ovaries.
Thirty women with peOD, who had previous laparoscopic
ovarian drilling by unipolar electrocauterizauon at the
departernent of Obstetrics and Gynecology of Benha University
Hospital were subjected to a second-look laparoscopy for
assessment of intraperitoneal adhesions according to the
American Fertility Society classification of adnexal adhesions.
The mean age of the selected women was 26.3 ± 4.7 years,
22 patients were with primal)’ infertility, and 8 patients with
secondary infertility.
Twenty women responded after unipolar ovarian drilling
by spontaneous ovulation (66.7%), all ovulated during the first
month after ovarian drilling as proved by measuring serum
progesterone level.
No adhesions could be detected in 7 patients (23.3%), in
16 patients (j3.3%), the adhesions were minimal (adhesion
scores between 2-5) and localised to the periovarian and
peritubal sites, and in 5 patients (16.7%) the adhesions were
mild (adhesion scores between 6-8). While in the remaining 2
l3D
patients the adhesions could he esnmated as moderate (auh~slon
Score 14).
The adhesions present were lysed laparoscop icall y to
restore mobility of the ovaries, normal tuboovanan relation~hip ,
and ensure tubal patency.
f In conclus ion, the laparoscop ic clectrocoilgulll[ ion of Ihl:
ovarian trssue in polycystic uvary patients, seems to be easier,
less cxpensi ••e.., and more effective than bilateral ovarian wedge
resection or even laser methods, especially because the rate of
postoperative fbrmation of adnexal adhesions appears ro be less
freq uent and most of the adhesions were of the filmy avascu tar
type which could he easily lysed by blunt dissection wnhout any
compl icatiuns