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Ovarian drilling, also known as multiperforation or laparoscopic ovarian diathermy, is a surgical technique of puncturing the membranes surrounding the ovary with a laser beam or a surgical needle using minimally invasive laparoscopic procedures. [1] It differs from ovarian wedge resection, which involves the cutting of tissue.
The mainstay of treatment is surgery to remove the residual ovarian tissue. Women with ORS with a pelvic mass should have appropriate evaluation for malignancy . Hormonal therapy to suppress ovarian function is an alternative treatment for those who refuse surgery, or those who are not candidates for surgery. [3]
Laparoscopic surgery, also called minimally invasive procedure, bandaid surgery, or keyhole surgery, is a modern surgical technique. There are a number of advantages to the patient with laparoscopic surgery versus an exploratory laparotomy. These include reduced pain due to smaller incisions, reduced hemorrhaging, and shorter recovery time.
In 1899 Austrian chemist von Zaynek determined the rate of heat production in tissue as a function of frequency and current density, and first proposed using high-frequency currents for deep heating therapy. [2] In 1908 German physician Karl Franz Nagelschmidt coined the term diathermy, and performed the first extensive experiments on patients. [3]
Once a patient is cured from their malignant disease, the tissue can be thawed and then transplanted for the possibility of restoring ovarian function. Following auto-transplantation, patients showed resumption of ovarian activity to include the first menstruation at 14 to 25 weeks, and follicular development 8 to 21 weeks. [7]
The VO 2Max of an elite runner at maximal exercise is almost two times the value of a fit or trained adult at maximal exercise. [8] Marathon runners demonstrate physiological characteristics that enable them to deal with the high demands of a 26.2 mile (42.195 km) run.
Running economy (RE) a complex, multifactorial concept that represents the sum of metabolic, cardiorespiratory, biomechanical and neuromuscular efficiency during running. [1]: 33 [2] [3] Oxygen consumption (VO 2) is the most commonly used method for measuring running economy, as the exchange of gases in the body, specifically oxygen and carbon dioxide, closely reflects energy metabolism.
Trehan's temporary ovarian suspension, a technique in which the ovaries are suspended for a week after surgery, may be used to reduce the incidence of adhesions after endometriosis surgery. [ 149 ] [ 150 ] Removal of cysts on the ovary without removing the ovary is a safe procedure.