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VOLUME 15 , ISSUE 2 ( May-August, 2022 ) > List of Articles
Saraswati Ramesh, KS Harinath, Soumya R Patil
Keywords : Diagnostic laparoscopy, Infertility, Hysterolaparoscopy
Citation Information : Ramesh S, Harinath K, Patil SR. Role of Hysterolaparoscopy in Evaluation of Subfertility. World J Lap Surg 2022; 15 (2):116-119.
License: CC BY-NC 4.0
Published Online: 16-08-2022
Copyright Statement: Copyright © 2022; The Author(s).
Introduction: Diagnosing and treating subfertility is a most rapidly evolving area in modern medicine. Advances in endoscopic surgery have revolutionized the diagnostic and management approach to an infertile couple. Unlike USG and HSG, hysterolaparoscopy single-handedly provides information regarding uterine, ovarian, tubal, as well as pelvic pathology. Materials and methods: A prospective analysis was performed at BEST Institute and Research Centre, AV hospital, Bengaluru, over a period of 2 years. Couples presenting to the infertility clinic were subjected for thorough history taking, general examination, and gynecological examination. All necessary investigations were performed. Women who approached with fertility issues as a complaint and who could be potentially benefited from hysterolaparoscopy were included in the study. Results: A total of 102 patients were evaluated in the study, out of which 67 (65.7%) women had primary infertility and the rest (34.3%) had secondary infertility. Ovarian pathologies such as ovarian cysts, endometriosis of the ovary, and PCOS were the most common abnormality detected on laparoscopy followed by uterine pathologies. The most common hysteroscopic pathology was a polyp. Conclusion: Combined hysterolaparoscopy is a safe, effective, and reliable tool in comprehensive evaluation of subfertility. It should be considered as a definitive day-care procedure for evaluation and treatment of female subfertility.
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