The Study of Laparoscopic Finding in Infertility Cases

Background: Infertility is a global reproductive health issue that affects many individuals and family. The aim of the present study was to evaluate the laparoscopic finding in infertility cases.Methods: Present study is a prospective study on laparoscopic evaluation of female infertility at Panna Dhai Mahila Chikitsalaya, Udaipur, Rajasthan, India. This study was done for the duration of one year from January 2017 to December 2017. Present study included total 100 cases randomly selected attending OBG OPD with both primary and secondary infertility.Results: Out of 100 cases infertile women 62 cases (62%) were of primary infertility and 38 cases (38%) were of secondary infertility. The mean duration of infertility was 3.7 years. Laparoscopic finding were as follow 42% had polycystic ovaries, 33% women had tubal pathology diagnosed on laparoscopy in which 22 women had tubal blocks diagnosed on chromopertubation and among them 19 had cornual block and 3 had ampullary block ,11% uterine finding and 7 women had adhesions in the pouch of douglas and one women had obliterated. About 20 women (20%) conceived during the period of study. Seven women had post laparoscopic complication two women complained of shoulder pain and another four of abdominal pain post operatively.Conclusions: Laparoscopy is the gold standard for diagnosing tubal factors, peritoneal factors, endometriosis and adhesions, because no other imaging technique provides the same degree of sensitivity and specificity and it should be considered in infertility workup for early treatment decision.

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Laparoscopic findings in chronic pelvic pain

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v1i2.8146 ◽

2013 ◽

Vol 1 (2) ◽

pp. 100-102

Author(s):

J Bajracharya ◽

NS Shrestha ◽

C Karki ◽

R Saha

Keyword(s):

Pelvic Pain ◽

Chronic Pelvic Pain ◽

Diagnostic Laparoscopy ◽

Multidisciplinary Approach ◽

College Teaching ◽

Reproductive Age ◽

Medical College ◽

Laparoscopic Finding ◽

Reproductive Age Group ◽

Pelvic Congestion

Background: Chronic pelvic pain is a common problem in reproductive age group women. Diagnosis of chronic pelvic pain needs multidisciplinary approach. Diagnostic laparoscopy is one of the investigations which can help in reaching the diagnosis. Objective: To know the etiology in chronic pelvic pain. Methods: This was a descriptive study done in the Department of Obstetrics and Gynaecology of Kathmandu medical college teaching hospital from January 2010 to June 2012 (30 months). All the cases of laparoscopic surgery done for chronic pelvic pain were noted and details of these cases were analyzed regarding age, parity and laparoscopic findings. Results: Total 48 cases of Chronic Pelvic Pain underwent diagnostic laparoscopy during the study period. Mean age of cases were 33 years, ranging from 20-46yrs. Almost half of the cases 43.75% were of parity two. Laparoscopic finding was negative in 29.17% and pelvic pathology was present in 70.83% of the cases. Out of the pelvic pathology endometriosis was present in 55.88% followed by pelvic adhesions, pelvic congestion and pelvic inflammatory disease, chronic ectopic in 20.58%, 14.70%, 5.88%, 2.94% respectively. Conclusion: Diagnostic laparoscopy is a useful modality in the diagnosis of etiology and management of Chronic pelvic pain. In our study, Pelvic endometriosis was the most common pelvic pathology in cases of Chronic pelvic pain. DOI: http://dx.doi.org/10.3126/jkmc.v1i2.8146 Journal of Kathmandu Medical College, Vol. 1, No. 2, Oct.-Dec., 2012: 100-102

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Editorial Comment to “The Laparoscopic Finding of Pericholedochitis at Cholecystectomy Predicts the Presence of Unsuspected Bile Duct Stones”

Surgical Laparoscopy Endoscopy & Percutaneous Techniques ◽

10.1097/00129689-200006000-00003 ◽

2000 ◽

Vol 10 (3) ◽

pp. 127

Author(s):

Maurice E. Arregui

Keyword(s):

Bile Duct ◽

Editorial Comment ◽

Bile Duct Stones ◽

Laparoscopic Finding

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Laparoscopic Finding of Chylous Ascites and Intestinal Malrotation in an Infant Presenting with Left Inguinal Hernia

Journal of Laparoendoscopic & Advanced Surgical Techniques ◽

10.1089/lap.2007.0197 ◽

2008 ◽

Vol 18 (4) ◽

pp. 651-653 ◽

Cited By ~ 6

Author(s):

Faiz U. Shariff ◽

Joe Curry ◽

Paolo De Coppi ◽

David P. Drake

Keyword(s):

Inguinal Hernia ◽

Chylous Ascites ◽

Intestinal Malrotation ◽

Laparoscopic Finding

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Laparoscopic Incidental Finding of Pneumatosis Intestinalis in Acute Appendicitis

Case Reports in Surgery ◽

10.1155/2014/709874 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3

Author(s):

N. Mayooran ◽

A. Olu Shola ◽

N. Iqbal

Keyword(s):

Acute Appendicitis ◽

Laparoscopic Appendectomy ◽

Bowel Wall ◽

Clinical Presentation ◽

Incidental Finding ◽

Rare Condition ◽

Pneumatosis Intestinalis ◽

Home Management ◽

Underlying Causes ◽

Laparoscopic Finding

Pneumatosis intestinalis (PI) is a rare condition where the gas trapped inside the bowel wall. It is commonly found as an incidental finding on routine abdominal imaging or scans. We present a case of incidental laparoscopic finding of pneumatosis intestinalis on a 32-year-old male, who underwent a laparoscopic appendectomy for an acute appendicitis. Laparoscopic appendectomy was performed and pneumatosis intestinalis managed conservatively. Patient did well and was discharged home. Management of PI depends on clinical presentation; asymptomatic PI can be managed adequately by treating underlying causes. We report a case of incidental laparoscopic finding of Pneumatosis intestinalis, which was adequately managed by treating underlying appendicitis.

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Role of hysterolaparoscopy in the diagnosis and management of infertility

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20201228 ◽

2020 ◽

Vol 9 (4) ◽

pp. 1585

Author(s):

Saumya P. Agrawal ◽

Nupoor Kedia ◽

Shashwat K. Jani ◽

Siddharth P. Agrawal

Keyword(s):

Tertiary Care ◽

Care Centre ◽

Polycystic Ovaries ◽

Tertiary Care Centre ◽

Unprotected Sexual Intercourse ◽

Therapeutic Measure ◽

Centre Hospital ◽

A Prospective Study ◽

Laparoscopic Finding

Background: Infertility is defined by WHO and ICMART as a disease of the reproductive system by the failure to achieve a clinical pregnancy after 12 months or more regular unprotected sexual intercourse. Objective of this study were to assess the role of hysteroscopy and laparoscopy in the evaluation of female infertility. To assess the therapeutic role of these endoscopic modalities in cases of infertility.Methods: A prospective study of 112 women coming with the complain of infertility to a tertiary care centre hospital in Ahmedabad over a period of 30 months from January 2017 to June 2019.Results: Of the 112 cases, 69.7% had primary infertility and 30.3% had secondary infertility. Septum was the most common hysteroscopic finding (7.1%) followed by polyps (5.4%) and synechiae (3.6%). Adhesions was the most common laparoscopic finding (23.2%) followed by tubal blocks (19.7%) and fibroid (17.9%). Polycystic ovaries were seen in 12.5% patients followed by endometriosis in 10.7% women. Myomectomy was most common therapeutic procedure (17.9%) followed by adhesiolysis in 14.3% women and PCO drilling in 8.9% women.Conclusions: Hysterolaparoscopy is useful as a diagnostic and therapeutic measure for women having infertility.

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