The Open Reproductive Science Journal

2008, 1 : 8-10
Published online 2008 February 27. DOI: 10.2174/1874255600801010008
Publisher ID: TORSJ-1-8

A New Technique of Laparoscopic Ovarian Suspension with Microsuture for Adhesion Prevention in Patients Undergoing Fertility Enhancing Surgery

E.L. Taylor and P.F. McComb
Department of Obstetrics and Gynecology, Faculty of Medicine, University of British Columbia, D4- Women's Health Centre, 4500 Oak Street, Vancouver, British Columbia, V6H 3N1, Canada.

ABSTRACT

A new laparoscopic technique of ovarian suspension with microsuture that physically separates the ovary from the ovarian fossa to reduce the incidence of post-operative adhesions is described. Four women with adhesions of the ovary to the ovarian fossa and infertility underwent laparoscopic surgery with ovarian suspension. A 6-0 weight polypropylene swaged to a tapered straight needle was passed laterally to medially through the ipsilateral round ligament, through the mesosalpinx and then through the medial aspect of the ovarian insertion of the utero-ovarian ligament. The needle was then passed back through the mesosalpinx and round ligament and tied. The technique, technical feasibility, ease of procedure and post-operative complication rate is detailed. This technique separates the ovarian surface from the peritoneum of the ovarian fossa yet maintains the normal adnexal anatomy.

Keywords:

Laparoscopy, adhesions, ovarian suspension.