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Indian Journal of Obstetrics and Gynecology

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Role of Minimal Access Surgeries in the Management of Infertility: A Prospective Study

Sandip S. Sonawane, Assistant Professor Professor, Department of Obstetrics and Gynecology. Dr VP’s Medical College and research Institute, Nashik, Maharashtra 422003, India. , Sandip S. Sonawane* , Ajit Patil** , Kiran Patole**

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Indian Journal of Obstetrics and Gynecology 5(4):p 522-527, Oct-Dec 2017. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5417.13

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Abstract

Introduction: Incidence of infertility in our country is between 10 to 15%. The cause of infertility attributable to female partner in about third of all cases. Hysteroscopy and laparoscopy has emerged as a very important tool in evaluation and management of female infertility factors. Objective: This study aims to understand the role of minimal access surgeries like hysteroscopy and laparoscopy in cases of primary and secondary infertility. Materials and Methods: A prospective study conducted in 116 female infertility patients. Patients were subjected to clinical examination and diagnostic tests. Hysteroscopy & Laparoscopy were carried out in the proliferative phase of the menstrual cycle. Results: Out of 116 cases, 74 (63.7%) patients had a primary infertility and the rest 42 (36.2%) patients had a secondary infertility. Significant laparoscopy findings detected in 82 (70.6%) cases while hysteroscopy detected abnormalities in 46 (39.6%) cases in both the groups. Laparoscopic findings were more common than hysteroscopy in primary and secondary infertility. On laparoscopy tubal pathology was the most common abnormality seen in the pelvis while uterine polyps were the most common hysteroscopic findings observed in both the groups. Fertility enhancing endoscopic procedures carried out in the same sitting. Conclusion: Hysteroscopy & laparoscopy was found to be very useful in cases of primary and secondary infertility. It helps in the evaluation ofsignificant and correctible pelvic pathology in female infertility patients.

Keywords: Hysteroscopy; Infertility; Laparoscopy. 

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5417.13

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