Diagnostic and therapeutic hysterolaparoscopy in evaluation and treatment of female infertility in a tertiary hospital

Behuria, Sasmita; Nayak, Rohani

doi:10.18203/2320-1770.ijrcog20164019

Cited by 3 publications

(2 citation statements)

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“…Hydrosalpinx was found in 4 cases where 2 cases had bilateral and 2 cases had unilateral hydrosalpinx. Other laparoscopic abnormalities detected were myoma (4%), ovarian cyst(4%), PCOD (3%), tubal block (both bilateral and unilateral) (7%), bicornuate uterus (0.85%) and adhesions (10%) 20 .In another study by Sampija J. Shah et al (2014), laparoscopy revealed abnormal findings in 67% cases that included tuboperitoneal factors 38%, ovarian factors 31%, and uterine factors 9%. 23% cases showed normal laparoscopic findings 21 .…”

Section: Discussion:-mentioning

confidence: 94%

“…In my study,in table-6 (Laparoscopic Findings) the commonest abnormality in laparoscopy was tubal pathology (36%) in both primary and secondary infertility cases followed by ovarian pathology (17%) in primary infertility cases and adnexal adhesions (5%) in secondary infertility cases. In a study by Behuria et al (2016), they found that the most common pathology in laparoscopy was endometriosis (11%) in primary infertility and peritoneal and tuboovarian adhesions (15%) in secondary infertility. Hydrosalpinx was found in 4 cases where 2 cases had bilateral and 2 cases had unilateral hydrosalpinx.…”

Section: Discussion:-mentioning

confidence: 99%

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Combined Diagnostic Approach of HSG and Diagnostic Hysterolaparoscopy in Evaluation of Female Infertility.

Singh¹

2019

IJAR

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Hysterosalpingography (HSG), Diagnostic hysterolaparoscopy (DHL), Bilateral tubal patency(BP), Bilateral tubal blockage(BTB). Background: Since the history of mankind, human infertility has been a source of personal misery and social stigma. The aim of the present study is to assess the combined diagnostic approach of HSG and DHL in the evaluation of female infertility both primary and secondary and to identify the incidence of the various pathological conditions in the female reproductive tract leading to infertility and to study the advantages of diagnostic hysterolaparoscopy over hysterosalpingography. Method: The present study is a prospective observational study, conducted in the department O & G, SCBMCH, Cuttack. One hundred infertile patients were included in this study. All patients underwent both HSG and DHL. The standard protocols for HSG and DHL were followed. All reports on the 100 selected patients were reviewed. Result:In our study, 68% patients are in primary infertility and 32% in secondary infertility. Maximum number of patients with primary infertility were in the age group of 26-30 years i.e. 50% and 56.3% in secondary infertility. Tubal pathologies were the commonest of all followed by filling defects like myoma, polyps, synechiae and uterine anomalies in both HSG and DHL in both the primary and secondary infertility groups. Surgical interventions were done in 84% of primary infertility cases and in 97% of secondary infertility cases. The therapeutic measures were taken like polypectomy, myomectomy, septum resection during hysteroscopy. Most commonly done procedure in this study was adhesiolysis in 22-24% of cases followed by cannulation in15-22% cases. Conclusion: Our study found that Hysterosalpingography is simple, inexpensive, safe and rapid diagnostic modality for tubal patency then laparoscopy. Laparoscopy is considered the Gold Standard for diagnosing tubal and peritoneal disease. HSG and Laparoscopy are not alternative, but complimentary to each other but hysterolaparoscopy is more informative and operative intervention can be done in the same sitting.

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Section: Discussion:-mentioning

confidence: 94%

Section: Discussion:-mentioning

confidence: 99%

Combined Diagnostic Approach of HSG and Diagnostic Hysterolaparoscopy in Evaluation of Female Infertility.

Singh¹

2019

IJAR

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Uterine Anomalies in Infertility - An Evaluation by Diagnostic Hysterolaparoscopy

Pande¹,

Padhan²,

Pradhan³

2020

jebmh

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BACKGROUND About 10 - 15 % of reproductive age couples are affected by infertility.1 According to WHO 60 - 80 million couples currently suffer from infertility.2 Prevalence of infertility is rapidly increasing globally.3 Uterine factors of infertility include uterine anomalies, fibroid uterus, synechiae, Asherman’s syndrome, and failure of implantation without any known primary causes. Congenital uterine malformations are seen in 10 % cases of infertile women. We wanted to evaluate the anomalies of uterus in case of primary and secondary infertility by DHL (diagnostic hysterolaperoscopy). METHODS This is a hospital-based, observational study, conducted in the Department of Obstetrics and Gynaecology, VIMSAR, Burla, from November 2017 to October 2019. Diagnostic hysterolaparoscopy was done in 100 infertility cases. RESULTS In our study, uterine anomaly i.e. septate uterus was the most common hysteroscopic abnormaly found in 23 cases followed by submucous fibroid, polyp, synechiae and bicornuate uterus. CONCLUSIONS With proper selection of cases, and when done by skilled surgeon, can be considered as standard day care procedure for female infertility evaluation. KEYWORDS Infertility, Uterine Anomalies, Diagnostic Hysterolaparoscopy

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Comparison of methods of anesthetic management in hysteroscopy

Petrychenko

Ткаченко

2023

RHW

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The objective: to evaluate and improve the existing methods of anesthetic support during hysteroscopy.Materials and methods. In 2021-2022 years, 40 patients who had operative treatment – hysteroscopy, were examined in the municipal non-commercial enterprise “Kyiv City Center of Reproductive and Perinatal Medicine”. The exclusion criterion was the presence of concomitant diseases (hypertension, type 1 and type 2 diabetes, bronchial asthma, etc.).All patients were randomly divided into two groups depending on the chosen method of anesthesia. In the 1st group, standard total intravenous anesthesia was performed and premedication with nefopam and paracetamol was used for the improvement the anesthetic support and compare the results in the 2nd group.The hemodynamic indicators of heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) were measured to objectify the level of the pain syndrome, oxygen saturation in the blood was measured also. Pain was assessed using a visual analog scale (VAS) questionnaire.Results. It was established that the anesthetic support of the 1st group of patients was accompanied by a significant (p<0.05) increase of hemodynamic indicators at the stage of the beginning of the operation versus the indicators of the 2nd group: SBP – by 13.77%; DBP – by 11.92%, MAP – by 13.08%. After the end of anesthesia (awakening), an increased blood pressure was registered in the 1st group, which had a significant difference with similar indicators of the 2nd group, namely: SBP by 22.33%, DBP – by 19.05%, MAP – by 20.51%.Heart rate in the 1st group after the installation of a laryngeal mask (induction of anesthesia) was higher by 12.85% (p<0.05) than in the 2nd group. Heart rate was also higher upon awakening in the 1st group – by 16.03% (р<0.05) than in patients of the 2nd group. In the 2nd group, the maximum VAS score in 30 minutes after waking up was 0.9±0.11 points, which did not require additional analgesia, while in the 1st group this score was 3.86±0.20 points.20% of patients who were not premedicated with nefopam and paracetamol, in 30 minutes after surgery had vomiting, which was not present in the group where premedication was performed.Conclusions. Premedication with nefopam and paracetamol as the additional analgesics can prevent the development of pain sensations in the postoperative period and reduce the incidence of vomiting. The use of a laryngeal mask during artificial lung ventilation ensured adequate tightness of the connection of the respiratory tract with the circuit of the anesthesia machine.

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Diagnostic and therapeutic hysterolaparoscopy in evaluation and treatment of female infertility in a tertiary hospital

Cited by 3 publications

References 10 publications

Combined Diagnostic Approach of HSG and Diagnostic Hysterolaparoscopy in Evaluation of Female Infertility.

Combined Diagnostic Approach of HSG and Diagnostic Hysterolaparoscopy in Evaluation of Female Infertility.

Uterine Anomalies in Infertility - An Evaluation by Diagnostic Hysterolaparoscopy

Comparison of methods of anesthetic management in hysteroscopy

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