01 January 1998
Place of laparoscopy in infertility - judgement of the pelvic organs anatomical and functional states
Gyorgy Szendei, Janos Inovay, Peter Somos, Istvan Sziller, Janos Hidvegi, Janos Tanyi, Anton Borzsonyi, Zoltan PappMed Sci Monit 1998; 4(6): CR945-950 :: ID: 451729
Abstract
Objectives: The authors evaluated infertility couples by means of a given protocol. One of its steps was the laparoscopic judgement of the pelvic organs anatomical and functional states.Methods: Between the first of September, 1991 and the first of December, 1996, 186 sterile patients underwent a laparoscopic (LSK) check up. In 124 cases, we compared previously performed hysterosalpingography (HSG) and laparoscopic results. In 62 cases without HSG, LSK was the first choice.Results: Due to pelvic adhesions (keeping to the basic principle of minimal invasive surgery) we performed adhesiolysis in 96 patients (51.61%). We discovered endometriosis in 44 patients (23.6%). Following the evaluation of laparoscopic results, due to destroyed tubes, we suggested assisted reproductive methods in 35 patients(18.8%). During the examined period 57 spontaneous pregnancies were registered (30.6%) out of which 49 matured live birth (26.3%), and 8 produced spontaneous abortions (4.3%).Conclusion: The authors suggest that operative laparoscopy is a reliable diagnostic and therapeutic method in the evaluation of infertility patients, being more effective than HSG. It is an indispensable technique in the diagnosis and treatment of pelvic endometriosis, the more and more frequent pelvic inflammatory diseases, and adhesions due to previous laparotomies.
Keywords: Infertility, adhesiolysis, Pelvic Inflammatory Disease, Endometriosis, operative (surgical) laparoscopy
Editorial
01 April 2024 : Editorial
Editorial: Forty Years of Waiting for Prevention and Cure of HIV Infection – Ongoing Challenges and Hopes for Vaccine Development and Overcoming Antiretroviral Drug ResistanceDOI: 10.12659/MSM.944600
Med Sci Monit 2024; 30:e944600
In Press
05 Mar 2024 : Clinical Research
Role of Critical Shoulder Angle in Degenerative Type Rotator Cuff Tears: A Turkish Cohort StudyMed Sci Monit In Press; DOI: 10.12659/MSM.943703
06 Mar 2024 : Clinical Research
Comparison of Outcomes between Single-Level and Double-Level Corpectomy in Thoracolumbar Reconstruction: A ...Med Sci Monit In Press; DOI: 10.12659/MSM.943797
21 Mar 2024 : Meta-Analysis
Economic Evaluation of COVID-19 Screening Tests and Surveillance Strategies in Low-Income, Middle-Income, a...Med Sci Monit In Press; DOI: 10.12659/MSM.943863
10 Apr 2024 : Clinical Research
Predicting Acute Cardiovascular Complications in COVID-19: Insights from a Specialized Cardiac Referral Dep...Med Sci Monit In Press; DOI: 10.12659/MSM.942612
Most Viewed Current Articles
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952