Laparoscopic Evaluation of the Tuboperitoneal Factors in Infertility

Khan, MI; Jerin, Jesmin; Jesmin, Suha; Chowdhury, Tufayel Ahmed

doi:10.3329/birdem.v4i1.18546

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…Endometriosis was found in 4 (12.5%) cases with primary infertility and 2 (11.1%) cases with secondary infertility [14]. A similar study by Khan MI in Bangladesh in a study of 50 infertile patients, has shown pelvic pathology like endometriosis was present in 5(10%) cases ,adhesion was detected in 14(28%) and chocolate cyst was found in 3 (6%) cases [20]. In another similar study, Shetty SK et al showed endometriosis in 12(24%) cases and peritubal adhesion in 4(8%) cases where endometriosis was higher but adhesion was lower than our study [21].…”

Section: Resultsmentioning

confidence: 92%

Laparoscopic Evaluation of Female Factor in Bangladeshi Infertile Couple

Ruman

Chowdhury

Mahmud

et al. 2019

Bangladesh J Obstet Gynaecol

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Background: Infertility prevails in good number in our society, causing social disharmony and distress. Laparoscopy is now a very effective tool for diagnosis and evaluation of female infertility. Method: This cross sectional study was conducted in Infertility Unit of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, from July, 2012 to June 2014. The aim of the study is to identify common pelvic pathologies of female factor infertility by laparoscopy so that early detection and treatment modalities can be instituted. Total 230 sub fertile patients attending OPD were selected for this study. Patients with DM, HTN, known case of hypothyroidism and male factor infertility was excluded from study. Detailed clinical history of every patient was recorded on a pre-set questionnaire and physical examination was performed. Laparoscopy was scheduled in proliferative phase of menstrual cycle. Results: Among the study subjects, 130 (56.5%) had primary infertility while 100 (43.5%) secondary infertility. On laparoscopy, 64.4% patient had normal sized uterus, 31 % had bulky uterus. Two patients had bicornuate uterus in secondary infertility cases. Uterus was restricted in mobility in 41% of patients due to endometriosis, pelvic inflammatory disease (PID) or previous pelvic surgery. Fibroid uterus was detected in 30(13%) and 10(4.3%) cases of primary and secondary infertility cases respectively. Bilateral tubal blockage was present in 16(6.9%) and 17 (7.4%) cases of primary and secondary infertility respectively. Forty (17.4%) cases of primary infertility were detected as polycystic ovaries (PCO) which was 30(13%) in cases of secondary infertility. Endometriosis was found in total 9(3.9%) patient in both the groups. Pelvic adhesion was found in 22(9.5%) and 21 (9.1%) cases of primary and secondary infertility respectively. Conclusion: Laparoscopy could diagnose a substantial number of portion pelvic pathology. In a developing country like Bangladesh, earlier and justified intervention with laparoscopy can save time and expense of infertility treatment by diagnosing pelvic factor responsible for infertility. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(1) : 29-35

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Section: Resultsmentioning

confidence: 92%

Laparoscopic Evaluation of Female Factor in Bangladeshi Infertile Couple

Ruman

Chowdhury

Mahmud

et al. 2019

Bangladesh J Obstet Gynaecol

Self Cite

View full text Add to dashboard Cite

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Evaluation and Management of Mechanical Infertility Using Minimal Access Surgery

Khanyari,

Yousuf,

Beigh

et al. 2023

Matrix Science Medica

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Introduction: Tubal and peritoneal pathologies are one of the most common causes responsible for female infertility corresponding to 30%–40% of cases. The use of combined hysteroscopy and laparoscopy (HL) has now become a gold standard in the diagnosis and subsequent treatment of these pathologies. Aim of the Study: (1) Evaluation of infertile females for tubal and uterine pathologies using combined HL as a diagnostic aid. (2) To find out the feasibility of providing therapeutic management concurrently. Materials and Methods: This study was conducted from 2018 to 2019 on 100 married females in the age group of 20–45 years with primary or secondary infertility of > 1-year duration after ruling out male causes and hormonal causes of infertility. Laparoscopy and hysteroscopy were performed in a single session; methylene blue dye testing was done. Any relevant positive findings on hysterolaparoscopy were noted, and the incidence of different lesions was calculated. Surgical procedures wherever possible were carried out and tabulated accordingly. Results: Out of all patients subjected to combined HL, positive findings were noted in 76% of the cases. The most common hysteroscopic pathology in our patients was intrauterine adhesions (9.2%), followed by polyp (7.9%) and septum (6.6%). Similarly, on laparoscopy, the common findings were adhesions (23.7%), endometriosis (21.1%), myomas (17.1%), and hydrosalpinx (13.2%). Unilateral tubal block was seen in 15.8% and bilateral tubal block in 13.2% of the patients. Hysteroscopic procedures were done in 40.8% of the patients and laparoscopic procedures in 60.5% of the patients. Conclusion: From our study, we concluded that combined HL serves as an important diagnostic as well as a therapeutic modality in female infertility. Direct visualization of the uterine cavity and the ability to manipulate uterus and adnexa and perform any procedure required l(cannulation, septal resection, adhesiolysis etc.) all in a single session makes combined HL a far more superior tool for evaluation and treatment of infertility.

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Laparoscopic Evaluation of the Tuboperitoneal Factors in Infertility

Cited by 2 publications

References 3 publications

Laparoscopic Evaluation of Female Factor in Bangladeshi Infertile Couple

Laparoscopic Evaluation of Female Factor in Bangladeshi Infertile Couple

Evaluation and Management of Mechanical Infertility Using Minimal Access Surgery

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