IMR Press / CEOG / Volume 32 / Issue 1 / pii/2005009

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research

Laparoscopy treatment of adnexal sterility

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1 Clinic of Gynecology and Obstetrics, Clinical Center of Nis, 2Serbian Academy of Science and Arts (Serbia and Montenegro)
Clin. Exp. Obstet. Gynecol. 2005, 32(1), 31–34;
Published: 10 March 2005
Abstract

A total of I 13 patients who were examined and treated for matrimonial infertility underwent surgical laparoscopy at the Sterility and Infertility Department, Clinic of Gynecology and Obstetrics, Clinical Center of Nis. Age distribution in the group of patients who were subjected to surgical laparoscopy after diagnosis was 31.39土6.1 years, out of whom 74.3% were treated for primary sterility. Out of corrective interventions in laparoscopy, the following procedures were performed: adnexiolysis, salpingo-ovarioly­sis, fimbrioplasty, terminal salpingoneostomy, cyst puncture and ovarian incision. During any surgical laparoscopy, ovarian biopsy was performed for evaluation of ovarian potency and verification of probable histopathological findings. The most commonly used technique was salpingo-ovariolysis - in 22.88% of cases, followed by fimbrioplasty - 18.81 %. A total of 42 pregnancies were veri­fied: 36 intrauterine (29 completed at full term) and 6 extrauterine pregnancies. Average conception rate in our patients was 37.17%, while rate of parturition was 25.66%. The rate of pregnancy in different corrective laparoscopic procedures ranged from 18.18%-61.54%, The rate of intrauterine pregnancy was the highest after bilateral fimbrioplasty (47.83%), and the lowest after bilateral neosalpingostomy - 9.09%. The rate of delivery after adhesiolysis was 30.8%, after salpingo-ovariolysis - 28.8%, after fimbrioplasty - 18.3%, and after neostomy - 12.5% of the time.

Keywords
Surgical laparoscopy
Adnexal sterility
Rate of conception
Rate of parturition
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