Laparoscopic evaluation of the tuboperitoneal factor in infertile Nigerian women

Otolorin, Emmanuel; Ojengbede, Oladosu; Falase, A. O.

doi:10.1016/0020-7292(87)90183-4

Cited by 44 publications

(48 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tubal disease accounts for 15-20% of cases of primary infertility and approximately 40% of secondary infertility (20). Pelvicperitoneal adhesions (mostly sequels of prior infections from organisms like Chlamydia trachomatis and Neisseria gonorrhea) constitute the single most common class of tubal pathology responsible for tubal infertility (21). They cause anatomic and physiological dysfunction of tubes and prevent ovum pickup, fertilization and zygote transport between the ovary and the uterus in the normal process of procreation (22,23).…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Laparoscopy in the Evaluation of Female Factors in Infertility in Kashmir Valley

Ain¹,

Ara²,

Ahmad³

et al. 2014

IJWHR

View full text Add to dashboard Cite

Objectives: To evaluate the female factors in infertility using laparoscopy in Kashmiri women. Materials and Methods: One hundred cases of infertility [primary and secondary] were included in this prospective study. Before the procedure, apart from complete history and detailed examination, baseline investigations (complete blood count, blood sugar, kidney and liver function tests, ECG, chest X-ray) were performed as per our institutional protocol for pre-anaesthesia check up. Laparoscopy was done in proliferative phase of menstrual cycle. To test the patency of tubes, chromotubation was done in all cases under laparoscopic vision by using 10-15 ml of autoclaved methylene blue dye. All the data was collected on pre-designed proforma and the results were tabulated and raw percentages calculated to describe the results. Results: In primary infertility group [n=82], most common laparoscopic finding was tubal occlusion in 15 (18.3%), followed by endometriotic deposits in 14 (17.1%) patients. Other findings were polycystic ovaries in 10 patients (12.2%), peritubal and periovarian adhesions in 6 patients (7.3%), fibroids in 6 patients (7.3%), genital tract tuberculosis in 5 patients (6.1%), ovarian cysts in 4 patients (4.8%), hypoplastic uterus in 2 patients (2.4%) and pelvic inflammatory diseases in 2 patients (2.4%), in this group. The commonest finding by laparoscopy in patients with secondary infertility [n=18] was tubal occlusion in 5 (27.7%), followed by peritubal and periovarian adhesions in 4 (22.2%) patients. Conclusion: laparoscopy is very effective and cheap method in evaluating infertile women and should be considered earlier in infertility workup for effective and early treatment decisions.

show abstract

Section: Discussionmentioning

confidence: 99%

Diagnostic Laparoscopy in the Evaluation of Female Factors in Infertility in Kashmir Valley

Ain¹,

Ara²,

Ahmad³

et al. 2014

IJWHR

View full text Add to dashboard Cite

show abstract

“…Furthermore laparoscopy will reveal additional causes of infertility such as endometriosis and pelvic adhesion and where the resources are available it also offers the option of performing laparoscopic surgery. Though there have been reports of gynaecologic laparoscopy in Nigeria since the eighties, availability of this modality in Nigerian hospitals has been inconsistent and few studies have reported the use of laparoscopy for diagnostic purposes 7,8 . Other methods of tubal assessment include retrograde tubal cannulation during HSG or laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

Association between history of abdominopelvic surgery and tubal pathology

Famurewa¹,

Adeyemi²,

Ibitoye³

et al. 2013

Afr H. Sci.

View full text Add to dashboard Cite

Background: Pelvic infection, unsafe abortion and previous laparatomy are risk factors for tubal infertility among Nigerian women. Reports on the relationship between these factors and tubal pathology seen on hysterosalpingography (HSG) from our environment have been few. Objective: To assess the prevalence of tubal occlusions among patients referred for HSG and examine the association between previous history of abdominopelvic surgery (including dilatation and curettage for abortion) and tubal occlusion. Methods: We studied one hundred and thirty women referred to the Radiology department for HSG because of infertility. HSG was performed during the early proliferative phase of the menstrual cycle. Information about type and duration of infertility, history of abdomino -pelvic surgery and history suggestive of previous pelvic infection, were obtained from the patients. The data obtained were analyzed using SPSS version 11.Test of association using the chi-square test was done where appropriate and differences were considered at p= 0.05. Results: Sixty one women had bilaterally patent tubes; tubal pathology was seen in sixty nine women. Significant association exits between tubal pathology and history of pelvic surgery p=0.01, pelvic infection p=0.02 and duration of infertility p=0.04. Conclusion: Previous surgery especially dilation and curettage, PID duration and type of infertility are associated with tubal pathology among Nigerian women. Creative methods of lowering the cost of diagnosis and management of tubal occlusion need to be instituted.

show abstract

“…Pelvic-peritoneal adhesions (mostly sequels of prior infections from organisms like Chlamydia trachomatis and Neisseria gonorrhea) constitute the single most common class of tubal pathology responsible for tubal infertility. 15 They cause anatomic and physiological compromise of tubal functions of ovum pick-up, fertilization and zygote transport between the ovary and the uterus in the normal process of procreation. 16,17 In our study, tubal blockage was present in present in 26.5% in the primary group and 8.8% in the secondary infertility group and peritubal and periovarian adhesions in 25% and 18.7% of primary and secondary infertility respectively.…”

Section: Discussionmentioning

confidence: 99%