Reply: Ovarian suspension for longer than 36 H is necessary for temporary ovarian suspension to fulfil its remit

摘要

We are grateful to Trehan and Trehan for their comments. We did consider suspending the ovaries following laparoscopic surgery for longer than 36 h. However, we had experienced a case of acute small bowel obstruction following a similar suspension procedure which required immediate release of the suspension suture (data on file). This is a very distressing and potentially serious complication and we did not feel that it would have been safe to discharge women home with the ovarian suspension suture in situ. We have decided to adopt a 36 h interval based on a methodologically robust study which used an animal model to show that susceptibility for adhesion formation was significantly reduced or eliminated after the first 36 h following a peritoneal injury. This was a relatively recent study, whilst all the other animal studies quoted by Trehan and Trehan were published almost four decades ago.