Post-ovarian wedge resection adhesive disease.

Our purpose was to determine how frequently adhesions develop after wedge resection for polycystic ovarian disease and to investigate the possibility of their contributing to subsequent infertility. Medical records spanning 15 years were compiled on 173 patients who had been followed for at least 1 year after ovarian wedge resection. Ovarian adhesions were found either by endoscopy or laparotomy at varying times after surgery in 59 of 111 patients not lost to follow-up. Forty-three patients who desired conception did not conceive; forty developed postoperative adhesions. Drug therapy for polycystic ovarian disease seems to offer results comparable to those of surgery and eliminates the risk of adhesions.