LAPAROSCOPIC DETECTION AND MANAGEMENT OF SUBTLE FIMBRIAL ABNORMALITIES AMONG INFERTILE WOMEN

Document Type : Original Article

Authors

1 Professor of Reproductive Health, Al-Azhar University, Cairo Egypt

2 Departments of Obstetrics & Gynecology, Faculty of Medicine, Mansoura University, Egypt.

3 Clinical Pathology , Faculty of Medicine, Mansoura University, Egypt.

4 Anaesthesiology&ICU Faculty of Medicine, Mansoura University, Egypt.

Abstract

Objective : To detect subtle fimbrial abnormalities by laparoscopy in infertile women and consequently to manage such cases.
Material and Methods : Two hundred and eighty five patients with infertility underwent laparoscopy as a part of infertility evaluation at Mansoura University Hospital. During laparoscopy. fimbrial grasping by non-traumatic forceps and a probe were undertaken to evaluate the fimbrial end of the tube to detect any abnormalities. Serological testing for Chlamydia trachomatis was done in cases of fimbrial abnormalities and then following up pregnancy rate for at least one year.
Results : Among 285 patients; 41(14.3%) patients had been found to have subtle fimbrial abnormalities in the form of fimbrial phimosis and agglutination. The technique was performed without significant complications. Chlamydia serology was observed in 26.8% of cases with subtle fimbrial abnormalities. The overall pregnancy rate was (36.5%). Conclusions : Laparoscopy still has its place for diagnosis and management of tubal factor infertility. Surgical correction of subtle fimbrial lesions may improve the fertility potential and increase pregnancy rate in infertile women.

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