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Abstract
Laparoscopic ovarian electrocauterization is considered the 2nd
line of treatment in the patients with PCOS. Ovarian drilling by
minilaparoscopy under local anesthesia is a new option for
gynecologists, allowing similar therapeutical results to those achieved
by traditionallaparoscopy, but with benefits of less invasive technique
that can be carried out in an outpatient service without the need for
general anesthesia. Minilaparoscopy required a smaller incision and
provided visualization similar to that of traditional laparoscopy, but
the field of view is slightly narrower than traditional one. Technical
improvements of small optic systems, and improved anesthetic
procedures allow minilaparoscopy to be performed under local
anesthesia and conscious sedation. This procedure may become a
standard approach for the evaluation of infertile patients with PCOS,
in whom ovarian drilling can be integrated into the diagnostic work
up.
In addition, improvements in sedation and local anesthesia
protocols, may allow minilaparoscopy to become a routine out patient
procedure that allow cosmetic satisfaction and return of patients to
normal activity also, no need for postoperative narcotic analgesia. But
still its procedure difficulties need more experience. So, we
recommended minilaparoscopy for diagnostic purposes and when
enough experience to be gained shift to operative laparoscopy using
minilaparoscopic techniques may be advised.