{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T15:47:32Z","timestamp":1775749652691,"version":"3.50.1"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:p>SUMMARY  Introduction: anovulation is a major cause of female infertility, and polycystic ovary syndrome (PCOS) is the leading cause of anovulation. While undergoing drug-induced ovulation, women with PCOS usually have a satisfactory response recruiting follicles, but some are unable to recruit follicles or often produce an excessive number of follicles, which can result in ovarian hyper-stimulation syndrome and\/or multiple pregnancy. Surgical laparoscopy with ovarian \"drilling\" may prevent or reduce the need for drug-induced ovulation.  Objective: to identify the current indications of laparoscopic ovarian drilling and the best surgical technique.  Method: a review of the medical literature based on systematic search in the Medline, Lilacs and Cochrane databases, using as keywords laparoscopy, polycystic ovary syndrome, and drilling.  Results: we found 105 articles in the literature, 27 of these highly relevant, describing findings on ovarian drilling.  Conclusion: laparoscopic drilling is indicated for patients with polycystic ovary syndrome with ovulatory resistance to the use of clomiphene citrate, body mass index less than 30 kg\/m2 and preoperative luteinizing hormone above 10 IU\/L. The preferred surgical technique should be the realization of 5 to 10 perforations on the surface of each ovary bilaterally using monopolar energy.<\/jats:p>","DOI":"10.1590\/1806-9282.61.06.530","type":"journal-article","created":{"date-parts":[[2016,1,30]],"date-time":"2016-01-30T23:34:42Z","timestamp":1454196882000},"page":"530-535","source":"Crossref","is-referenced-by-count":12,"title":["Drilling: medical indications and surgical technique"],"prefix":"10.1590","volume":"61","author":[{"given":"Cristina Kall\u00e1s","family":"Hueb","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o Ant\u00f4nio","family":"Dias J\u00fanior","sequence":"additional","affiliation":[{"name":"Hospital S\u00edrio Liban\u00eas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maur\u00edcio Sim\u00f5es","family":"Abr\u00e3o","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elias Kall\u00e1s","family":"Filho","sequence":"additional","affiliation":[{"name":"Faculdade de Direito do Sul de Minas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"40","DOI":"10.4103\/0976-9668.149076","article-title":"Laparoscopic ovarian drilling: an alternative but not the ultimate in the management of polycystic ovary syndrome","volume":"6","author":"Mitra S","year":"2015","journal-title":"J Nat Sci Biol Med"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"291","DOI":"10.2217\/whe.12.7","article-title":"Evidence-based management of infertility in women with polycystic ovary syndrome using surgery or assisted reproductive 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