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Bilateral Ovarian Wedge Resection (BOWR)
PCOS ovaries- speckled egg appearance
PCOS ovaries- speckled egg appearance
PCOS ovaries- speckled egg appearance
Enlarged ovaries, volume > 10 cm with a smooth white surface.
Wedge incision
PCOS ovaries- speckled egg appearance
PCOS ovaries- speckled egg appearance
A "wedge incision" (a pie-shaped incision) is made in both ovaries.
Wedge section removed
PCOS ovaries- speckled egg appearance
Wedge section removed
The "wedge" sections are removed from both ovaries
Sutures are placed
Anti-adhesion barrier
Wedge section removed
Sutures are placed internally and externally.
Edges are inverted
Anti-adhesion barrier
Anti-adhesion barrier
Noticed how the excised edges are carefully inverted to prevent adhesions (scar tissue).
Anti-adhesion barrier
Anti-adhesion barrier
Anti-adhesion barrier
The ovaries are then wrapped in a special anti-adhesion barrier