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Updated: Jun 3, 2026
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
A modified technique of laparoscopic ovarian drilling for polycystic ovary syndrome using the monopolar hook
Johannes Ott1, Klaus Mayerhofer, Stefanie Aust
1Department of Gynaecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Austria. johannes.ott@meduniwien.ac.at
Abstract:
The aim of our study was to review our experience with a modified technique of laparoscopic ovarian drilling (LOD) using a monopolar hook electrode. We retrospectively included 38 clomiphene-resistant women with polycystic ovary syndrome undergoing LOD. A laparoscopic monopolar hook electrode was used to make three to six incisions in the ovarian capsule. It resulted in a rate of spontaneous ovulation of 75.8%, an overall one-year pregnancy rate of 80.6% and a subsequent live birth rate of 67.7%. We consider our LOD technique using the monopolar hook electrode practicable. Whether it leads to a more extensive destruction of the ovarian capsule and thereby of the ovarian reserve remains open.
