Objective: To assess the efficacy of temporary ovarian suspension following laparoscopic surgery for severe pelvic endometriosis in the prevention of postoperative ovarian adhesions and its correlation with the pregnancy outcome.
Study design: Prospective double-blind randomized controlled trial.
Materials and methods: The study was conducted in the Department of Obstetrics and Gynaecology, Vardhman Laparoscopy Centre from January 1, 2011 to September 30, 2017 on 100 endometriotic patients.
Results: On ultrasonographic follow-up, the study group showed significantly lesser incidence of readhesions compared with control group (20% vs 65%). Of these, 28 conceived (56%): 4 delivered, 22 pregnancy continues (85%), and 2 woman had an ectopic pregnancy. Five patients had a second-look laparoscopy out of which in 4 cases (80%), we found no evidence of recurrent adhesions. Only 1 patient had minimal adhesions.
Conclusion: The study suggests that temporary ovarian suspension could be an effective and feasible surgical technique, which might actually help reduce postoperative adhesion.
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