Premiers résultats de la cœlioscopie gynécologique au Centre hospitalier universitaire (CHU) de Dakar : série prospective de 128 cas

Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaoundé General Hospital, Cameroon

“…In accordance to previous African studies [5] [7] [11], we found a high frequency of tubal lesions (70.6%) in this study. Tubo-peritoneal factors of female infertility are mainly due to sexually transmitted infection, postabortum and post-partum infections [16] [17].…”

“…Adhesiolysis (79.7%) and distal tuboplasty (35%) were the two most frequent laparoscopic procedures in our series. Our results are similar to those of previous African studies [5] [7].…”

“…Our result is similar to the one reported by Mboudou et al who found 71.6% of tubo-peritoneal adhesions among infertile women who underwent laparoscopy in Yaoundé [7]. However, our result is high than 40.6% of pelvic adhesions reported by Mbaye et al among women who underwent laparoscopy at Dakar University Hospital and 33% of pelvic adhesions reported by Jain et al among women who underwent laparoscopy for infertility in India [5] [13]. The difference in the prevalence of pelvic adhesions can be explained by the difference in the characteristics of the study population, in the prevalence of sexually transmitted infection and in the frequency of past history of pelvic surgeries between these studies.…”

“…We reviewed in this study 208 cases of laparoscopy at the Yaoundé General Hospital indicated for female infertility. In previous studies carry out in Cameroon and Senegal, infertility was the most frequent indication for laparoscopy [5] [7] [11]. Adhesions involving the fallopian tube are considered as causes of infertility [12].…”

“…Gynaecological surgical laparoscopy was introduced in Cameroon in the early 1990s at the Yaoundé General Hospital [4]. However, previous studies in low resource countries reported that infertility was the main indication for gynaecological laparoscopy [5]- [7]. Operative procedures, such as lysis of adhesions, ablation of endometriosis, tuboplasty and salpingectomy for hydrosalpinx or pyosalpinx at the time of laparoscopy can enhance conception, naturally or with intra uterine insemination or in vitro fertilization [3] [8].…”