Laparoscopic Ovarian Drilling (LOD)

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Laparoscopic Ovarian Drilling

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What is Laparoscopic Ovarian Drilling

  1. Laparoscopic ovarian drilling (LOD) is a surgical procedure done to stimulate ovulation in women with PCOS (Polycystic ovary syndrome).
  2. PCOS is a common condition that causes irregular periods like heavy menstruation or even no menstruation. PCOS primarily affects younger women and teenage girls.
  3. LOD is a surgical option for women who cannot ovulate even after medical therapy or lifestyle changes like weight loss.

Benefits of Laparoscopic Ovarian Drilling

Laparoscopic ovarian drilling (LOD) is a surgical procedure done to stimulate ovulation in women with PCOS (Polycystic ovary syndrome).

  1. PCOS is a common condition that causes irregular periods like heavy menstruation or even no menstruation. PCOS primarily affects younger women and teenage girls.
  2. LOD is a surgical option for women who cannot ovulate even after medical therapy or lifestyle changes like weight loss.

Who needs this procedure?

  1. Laparoscopic Ovarian Drilling (LOD) is done in women with PCOS who are not ovulating even after fertility medicines and weight loss.
  2. It is not clear why women with PCOS ovulate after ovarian drilling or wedge resection. After surgery, ovulation occurs spontaneously in 70-90% of women and the possibility of pregnancy after twelve months is in the region of 40-60%
  3. With this procedure, there is no increased chance of multiple pregnancies or OHSS. If ovulatory cycles neglect to restore, after this laparoscopic surgery, a gynaecologist may restart ovulation induction. In a recent study, as much as 20 years after laparoscopic drilling indicates the persistence of ovulation over a long time.

Who needs this procedure?

Laparoscopic Ovarian drilling Procedure

Procedure Description

Your surgeon will:

  1. Inject general anaesthesia and make a small cut on the abdomen.
  2. Place a tube to inflate the belly with CO2 (carbon dioxide) to insert a laparoscope (viewing instrument) and view the internal organs without damage.
  3. Insert surgical instruments through the same cuts.
  4. Use laser or electrocautery (electrically heated instrument) to make small holes in the ovaries.

What to expect before Surgery?

  1. Before the surgery, your doctor will:
  2. Discuss and answer all your queries and concerns related to the surgery.
  3. Tell you to stop taking blood-thinning medicine (aspirin, warfarin) or other medicines.

What to expect on the day of Surgery?

  1. You will have to sign an informed consent form.
  2. What to expect during Surgery?
  3. Position during LOD:
  4. You will be placed in the Trendelenburg position (you will lie on your back on the table, and the table is declined from the head region at 20o).

What to expect during Surgery?

Position during LOD:

You will be placed in the Trendelenburg position (you will lie on your back on the table, and the table is declined from the head region at 20o).

Cleaning and draping:

Proper draping and cleaning will be done to prevent infection and protect your privacy and comfort.

 

Risk and Complication of Procedure

When to Consult a Doctor?

Possible side effects that can normally occur after the surgery are:

  1. Bleeding from the surgical area
  2. Side effects of anaesthesia
  3. Pain
  4. Risk/complications of the surgery:
  5. Internal bleeding
  6. Accidental injury to the blood vessel or internal organs caused by the surgical instruments or laparoscope
  7. Scarring or adhesion between the fallopian tubes and the ovaries inside the body
  8. Sequelae of infection:
  9. There are chances of infection in the wound area.

More Treatment options

Expert Doctors for Laparoscopic Ovarian Drilling

Dr. Prachi Benara

Dr. Prachi Benara

Fertility and IVF
16 years experience
100% Recommended
Dr. Swarnalatha .S

Dr. Swarnalatha .S

Obsteterics and Gynaecology
29 years experience
99% Recommended
Dr. Kiranmayi Setty

Dr. Kiranmayi Setty

Obstetrics and Gynaecology
18 years experience
96% Recommended
Dr. Kiranmayi Setty

Dr. Kiranmayi Setty

Obstetrics and Gynaecology
18 years experience
96% Recommended
Dr. Akshatha Sharma

Dr. Akshatha Sharma

Obstetrics and Gynaecology
17 years experience
99% Recommended
Dr. Aabha Gupta

Dr. Aabha Gupta

Obstetrics and Gynaecology
13 years experience
98% Recommended
Dr. Aarathi Santhosh R

Dr. Aarathi Santhosh R

Obstetrics and Gynaecology
17 years experience
96% Recommended
Dr. Aarathi Santhosh R

Dr. Aarathi Santhosh R

Obstetrics and Gynaecology
17 years experience
96% Recommended
Dr. Sapna Raina

Dr. Sapna Raina

Obstetrics and Gynaecology
20 years experience
96% Recommended

NABH Accredited Hospitals for Laparoscopic Ovarian Drilling

Narayana Institute of Cardiac Sciences

Narayana Institute of Cardiac Sciences

258/A 560099
Excellence in Obstetrics and Gynaecology
4.9/5
Saroj Medical Institute

Saroj Medical Institute

78B 110042
Excellence in Obstetrics and Gynaecology
4.8/5
Ajanta Hospital And IVF Centre

Ajanta Hospital And IVF Centre

ABC Complex, 765, Kanpur - Lucknow Rd 226005
Excellence in Obstetrics and Gynaecology
4.5/5
Gad Advanced Ortho Gynae and Infertility Clinics

Gad Advanced Ortho Gynae and Infertility Clinics

Flat No 315 to 322, C5A 110057
Excellence in Obstetrics and Gynaecology
4.8/5
Narayana Superspeciality Hospital, Howrah

Narayana Superspeciality Hospital, Howrah

120, 1, Andul Rd 711103
Excellence in Obstetrics and Gynaecology
4.8/5
Narayana Multispeciality Clinic, Electronic City Niladri Road

Narayana Multispeciality Clinic, Electronic City Niladri Road

Survey No.162, Vandana West Ridge Plaza, Neeladri Rd 560100
Excellence in Obstetrics and Gynaecology
4.8/5
Narayana Multispeciality Clinic, Electronic City Velankani

Narayana Multispeciality Clinic, Electronic City Velankani

Shop No. 5,6,7, Velankani Drive, opp. Gate No. 3Velankani Information Systems Pvt. Ltd 560100
Excellence in Obstetrics and Gynaecology
4.8/5
Narayana Multispeciality Clinic, HSR Layout

Narayana Multispeciality Clinic, HSR Layout

BDA Complex, 1st Floor, B 43/A, 12th Main Rd 560102
Excellence in Obstetrics and Gynaecology
4.8/5
Narayana Multispeciality Clinic, Jayanagar

Narayana Multispeciality Clinic, Jayanagar

No.108, Uday House, 30th Cross 560011
Excellence in Obstetrics and Gynaecology
4.8/5

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