scholarly journals Laparoscopic evaluation of pelvic organ in case of subfertility

2021 ◽  
Vol 10 (8) ◽  
pp. 2955
Author(s):  
Polly Ahmed ◽  
T. A. Chowdhury ◽  
Kaniz Mahmud
Keyword(s):  
Fallopian Tube ◽  
Gold Standard ◽  
Standard Procedure ◽  
Pelvic Organ ◽  
Left Ovary ◽  
Cystic Change ◽  
Simple Cyst ◽  
Left Fallopian Tube ◽  
Unilateral Block ◽  
Laparoscopic Evaluation

Background: Globally subfertility affects 10-15% of couple. All these people need proper evaluation and treatment. Now a days laparoscopy considered as a gold standard procedure for evaluation of pelvic organ. The aim of this study was to find out the different causes of female factor infertility with the help of laparoscopy.Methods: This retrospective study was conducted in infertility clinic of BIRDEM hospital, Dhaka, Bangladesh during the period of May, 2007 to October 2007. The study group comprised 100 cases of infertile patients.Results: In this study, among 100 patients 68% had primary and 32% had secondary infertility. In laparoscopy majority (55.0%) had normal ovary, 20.0% had cystic change with thick capsule in right ovary and 22% had in left ovary, 7.0% had endometriosis, 8.0% had adhesion, 10.0% had simple cyst in right ovary and 8% had in left ovary and rest could not be visualized. 79.4% right and 77.9% left fallopian tube patent in primary subfertility cases and 56.3% right and 59.4% left tube normal in secondary subfertility cases. Both fallopian tube patent in 62%, unilateral block 21% and bilateral block in 17% cases in this study peritoneum was normal in 78% cases, 8% cases there was endometriosis and 14% cases there was adhesion of fallopian tube with the ovary, adhesion of uterus with intestine and also with bladder.Conclusions: Laparoscopy is an important tool for diagnosing anatomical and pathological abnormalities of pelvic organ which has a major role in subfertility management. 

scholarly journals Laparoscopic Evaluation of Pelvic Organs In Case of Infertility

2013 ◽  
Vol 3 (2) ◽  
pp. 90-93
Author(s):  
Maherunnessa ◽  
TA Chowdhury ◽  
Samsad Jahan ◽  
Nurunnahar Begum ◽  
Samina Sultana ◽  
...  
Keyword(s):  
Fallopian Tube ◽  
Objective Evaluation ◽  
Pelvic Organ ◽  
Left Ovary ◽  
Pelvic Organs ◽  
Pouch Of Douglas ◽  
Left Fallopian Tube ◽  
Laparoscopic Evaluation ◽  
A Prospective Study ◽  
Infertile Patients

Objective: Evaluation of pelvic organs by laparoscopy in infertile patient. Background: Despite of absence of any known risk factor for infertility various studies indicate that there may be abnormalities in pelvic organ in about two-third of the cases, as evidenced by laparoscopic study. Present study was done to have an idea about the problem in a group of patients reporting to specialised centre. Materials and Methods: It was a prospective study which was undertaken in Gynaecology and Obstetric Department at BIRDEM during the period of January 2001 to December 2001. Results: The study group comprised 100 cases of infertile patients of age between 20 to 40 years. Sixty seven percent patients had primary infertility and 33% patients had secondary infertility. Size and shape of uterus was normal in 76% cases and bicornuate uterus was found in 2% cases. Right ovary was normal in 51%patient and left ovary was normal in 53%. Polycystic changes of right ovary were observed in 23% and of left ovary in 22% cases . Right fallopian tube was normal in 71% and left fallopian tube was normal in 69% cases. Patency of right fallopian tube was found in 89%and patency of left fallopian tube was found in 90%. Eleven percent patients were found to have peritubal adhesion on right side and 10% on left side. Pouch of Douglas was found to be normal in 69% cases and 9% cases had adhesion with obliteration. Conclusion: Laparoscopy is an important tool for diagnosing anatomical and pathological abnormalities of internal genital organs which plays a major role in infertility management. For treating infertility, we should give appropriate importance on laparoscopic evaluation of pelvic organs. Birdem Med J 2013; 3(2): 90-93 DOI: http://dx.doi.org/10.3329/birdem.v3i2.17212

scholarly journals Laparoscopic Evaluation of Tubal Factors in Case of Patients With Sub Fertility

2012 ◽  
Vol 23 (1) ◽  
pp. 17-20
Author(s):  
Indrani Adhikary ◽  
Jesmine Banu ◽  
Parveen Sultana ◽  
ASM Alambir Chowdhury ◽  
Parveen Fatima
Keyword(s):  
Fallopian Tube ◽  
Semen Analysis ◽  
Female Partner ◽  
Inclusion Criteria ◽  
Tubal Patency ◽  
Obstetrics And Gynaecology ◽  
History Of ◽  
Unilateral Block ◽  
Laparoscopic Evaluation ◽  
Medical University

In this prospective study was carried out in the department of Obstetrics and Gynaecology (infertility) Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, during the period of September 2010 to February 2011. For this purpose total number of 80 female partner of subfertile couples undergoing laparoscopy in the above centre. Patients have been evaluated in the infertililty out patient department with the detailed history of both husband and wife and also evaluated clinically. Patient suffering from both primary and secondary subfertility have been included in this study with the inclusion criteria women age 20-40 years. Male partners having normal semen analysis. Female partner tried unsuccessfully for 1 year and female partner having any pelvic pathology suggest by history and physical examination. They are selected for the diagnostic laparoscopy. Laparoscopy findings will be carefully recorded and showing in primary subfertility normal looking 30 (55.5%), peritubal adhesion 8(14.8%), signs of endometriosis 10 (18.5%), hydrosalphinx 6(11.1%) and in secondary subfertility normal looking 10(38.5%), peritubal adhesion 4(15.4%), signs of endometriosis 4(15.4%), hydrosalphinx 8(30.8%). In this study normal looking fallopian tube is more common in primary subfertility and hydrosalphinx is more common in secondary subfertility. Laparoscopic evaluation of fallopian tube among the patient with primary subfertility showing the condition of the fimbria normal looking 50 (92.6%), indrowing 2(3.7%), not visualized fimbria 2(3.7%) and in secondary subfertility normal looking 18(69.2%), indrowing 6 (23.1%), not visualized fimbria 2(7.7%). Fimbria normal looking more in primary subfertility and indrawing more in secondary subfertility. In peritubal adhesion 34pt among them 30(88.2%) are dye test negative. In endometriosis 30 patients among them 12(40%) are dye test negative. In pulmonary TB, salphingitis and ectopic pregnancy (100%) are dye test negative.  In tubal patency test of the study patients were observed in case of primary and secondary subfertility. In primary subfertility both tube patent 24(44.4%), unilateral block 20(37%) and bilateral block 10 (18.5%) and in secondary subfertility both tube patent 12 (46.2%), unilateral block 8 (30.8%), bilateral block 6 (23.1%). Bilateral block more in secondary subfertility. No difference in case of both tube patent. JCMCTA 2012; 23(1): 17-20

scholarly journals Laparoscopic evaluation of tubal pathology in cases of infertility

2014 ◽  
Vol 7 (2) ◽  
pp. 38-40
Author(s):  
Rama Biswas ◽  
TA Chowdhury
Keyword(s):  
Diagnostic Laparoscopy ◽  
Public Health Problem ◽  
Pelvic Organ ◽  
Study Group ◽  
Fallopian Tubes ◽  
Secondary Infertility ◽  
Left Fallopian Tube ◽  
Laparoscopic Evaluation ◽  
Tubal Pathology ◽  
Infertile Patients

Infertility is a public health problem in developed and developing countries. Diagnostic laparoscopy is a generally accepted procedure to detect pelvic organ pathologies affecting fertility. This study was undertaken to find out the tubal pathology contributing to primary and secondary infertility by laparoscopic examination. The study was carried out in the department of Gynaecology and Obstetrics, BIRDEM during the period of January 2001 to December 2001. The study group comprised of 100 cases of infertile patients of age between 20 to 40 years. Sixty seven percent patients had primary infertility and 33% patients had secondary infertility. Size and shape of the uterus was normal in 69% cases and bicornuate uterus was found in 2% cases. Out of total cases, 71% and 69% had normal right and left fallopian tubes respectively. Patency of right and left fallopian tube was normal in 90% and 89% cases respectively while 11% and 10% had peritubal adhesions. Laparoscopy examination is an important tool for evaluation of tubal pathology contributing to infertility and might play a major role in infertility management. DOI: http://dx.doi.org/10.3329/imcj.v7i2.20110 Ibrahim Med. Coll. J. 2013; 7(2): 38-40

scholarly journals A Case of Unicornuate Uterus with Atypical Located Hyperstimulated Ovary after in Vitro Fertilization Pre-Embryo Transfer (IVF-ET)

2015 ◽  
Vol 3 (3) ◽  
pp. 420-422 ◽  
Author(s):  
Mariya Angelova Angelova ◽  
Emil Georgiev Kovachev ◽  
Stefan Vasilev Kisyov ◽  
Vilislava Robert Ivanova
Keyword(s):  
In Vitro Fertilization ◽  
Embryo Transfer ◽  
Fallopian Tube ◽  
Left Ovary ◽  
Vitro Fertilization ◽  
Unicornuate Uterus ◽  
Mullerian Anomaly ◽  
Left Fallopian Tube ◽  
Ivf Et

The authors describe a case of a congenital Mullerian anomaly, uterus unicornis with missing right fallopian tube. An in Vitro Fertilization Pre-Embryo Transfer (IVF-ET) procedure was done and presently is known that the patient has left fallopian tube and left ovary, two kidneys, and right ovary is missing. No diagnostic laparoscopy and hysteroscopy were done, only hysterosalpingography (HSG) before the IVF procedure.  Several days after the follicular puncture of the left ovary the patient was urgently admitted to the hospital for specialized gynaecology in Varna. Transabdominal ultrasonography showed right ovary atypically located immediately next to the liver and with emerging theca-lutein cysts.

Pain management and intraocular pressure monitoring following phacoemulsification

2021 ◽  
Vol 12 (10) ◽  
pp. 478-482
Author(s):  
Louise Lee ◽  
Evie Yon
Keyword(s):  
Intraocular Pressure ◽  
Pain Management ◽  
Soft Tissue ◽  
Pain Assessment ◽  
Postoperative Care ◽  
Gold Standard ◽  
Standard Procedure ◽  
Hospital Setting ◽  
Nursing Interventions ◽  
Pressure Monitoring

Phacoemulsification is the gold standard procedure for cataract removal in veterinary patients. Registered veterinary nurses involved in the care of patients undergoing this surgery should be aware of potential complications postoperatively and tailor their nursing considerations to individual patients. Pain assessment in ophthalmic patients should take a different format to that in traditional soft tissue or orthopaedic surgeries, and monitoring of intraocular pressure is an important part of postoperative care. This report aims to discuss these nursing interventions for a patient nursed in a referral hospital setting.

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