Abstract
Background: The number of couples seeking medical help for infertility is increasing dramatically. This problem is compounded by the trend towards delayed child bearing to achieve socio-economic, educational and professional goals.
Today, in the era of scientific advancement and technology, newer diagnostic modalities have paved the path for further insight into this problem. Laparoscopy has emerged in recent years as an accurate method of assessing, evaluating and treating infertility.
Aims and Objectives: To evaluate the role of diagnostic laparoscopy in female with primary and secondary infertility.
Materials and Methods: During the study period diagnostic laparoscopy was performed over selected 100 cases under general anaesthesia. A thorough pelvic assessment was made. Chromopertubation was done with methylene blue dye to assess the patency of tubes. Data were analysed as per standered analysis methods.
Result and Conclusion: In our study incidence rate of infertility was 11.8%. Laparoscopic surgery has very important roles in infertility cases, not only for investigation, but also for treatment. Before taking for laparoscopy all other factors like male factors need to be ruled out.
References
- Neerja Bhatla. Infertility and assisted reproduction technology. Chapter 39.In: Jeffcoates principles of gynaecology. 6th 2001; 633-660.
- Jonathan S Berek, RD Rinehart, PA Hillard, Eli Y Adashi, Novak’s Gynaecology, 13th Lippincott Williams & Wilkins. 973-974, 979, 983.
- Puneuska M, Nalbanski B, Sirakor M, Georgiev S, Diagnostic laparoscopy in female sterility. Khirugia Sofiia, 1997; 50 (3): 35-36.
- Corson SL, Cheng A, Gutmann JN, Laparoscopy in the normal infertile patient, a question revisited. J Am Assoc Gynaecol Laparose, 2000; 7(3): 317-324.
- Kumar P, Dang A, Is laparoscopy necessary in all infertile patients? J Obst Gyn India. 2001; 51 (2): 105-108.
- Maherunnessa et al, Laparoscopic Evaluation of Pelvic Organs In Case of Infertility, Birdem Medical Journal Vol. 3, No. 2, July 2013.
- Boudhraa K. et al, role of the hysteroscopy and laparoscopy in management of the female infertility:About 200 cases, La tunisie M edicale - 2009 ; Vol 87 ( n°01 ) : 55-60
- Jayakrishnan, et al.: Laparoscopy in women with normal pelvic imaging, J Hum Reprod Sci / Volume 3 / Issue 1 / Jan - Apr 2010
- Sharma R.K., laparoscopy in 50 infertile couples: prospective study, International Journal of Medical and Clinical Research, Volume 2, Issue 2, 2011, pp-63-66.
- M alek-mellouli M et al, The value of sonohysterography in the diagnosis of tubal patency among infertile patients, La tunisie M edicale - 2013 ; Vol 91 ( n°06 ) : 387-390
- Nayak P et al, Role of diagnostic hystero‑laparoscopy in the evaluation of infertility: A retrospective study of 300 patients, Journal of Human Reproductive Sciences, Volume 6, Issue 1, Jan - Mar 2013.
- Bosteels J, Van Herendael B, Weyers S, D'Hooghe T. The position of diagnostic laparoscopy in current fertility practice. Hum Reprod Update, 2007; 13(5): 477-485.
- Swart P, Mol BWJ, van der Veen F, van Beurden M, Redekop WK, Bossuyt PMM, The value of hysterosalpingographyin the diagnosis of tubal pathology, a meta- analysis, Fertil Steril 1995;64:486-491.
- VG Padubidri, SN Daftary, Shaw’s text book of Gynaecology, 13th Edn, Reed Elsevier India Pvt Ltd, 198.
Corresponding Author
Dr Rinky Agrawal
Phone no- 9978909950, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v7i5.61
