Viqar Ashraf, Shehla M Baqai.
Laparoscopy; diagnostic role in Infertility.
Professional Med J Jan ;12(1):74-79.

Laparascopic surgery has changed the way of conventional approach & reduced the complications of procedure. Design: Descriptive study. Setting: Officers family ward and other ranks Gynae ward II CMH Lahore Period: From March 2001 to February 2002 Material & Methods: Fifty (50) patients from officers family gynae ward and other ranks families gynae ward II, who had undergone laparoscopy. were included in this study. They included cases of both primary and secondary infertility. The patients were divided into two groups. Group I: This group included 36 patients who had no history of pregnancy. Group II: This group included 14 patients who gave history of infertility following one or more pregnancies. Results: In this study 50 patients were admitted with infertility. Out of 50, 36 were having primary infertility and 14 secondary infertility. The laporascopic findings in primary infertility were tubal occlusion 27.77%, adhesions 19.44%, PID 8.33%, endometriosis 5.55% and failure to visualize tubes and ovaries 2.77%. Whereas the laporscopic findings in secondary infertility were tubal occlusion 35.71 %, adhesion 21.42%, endometriosis 14.28%, fibroid 14.28%, polycystic ovaries 7.14%. Conclusions: The benefits of the laporoscopic approach to conventional surgery included less pain, less scarring, less disability and quicker recovery. It has more advantages than disadvantages when compared with laparotomy as an alternative.

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