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

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 polypro- pylene 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 pro- cedure 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.