LAPAROSCOPY

DIAGNOSTIC ROLE IN INFERTILITY

Abstract

In 1902 Kelling described his first diagnostic laparoscopy. There after the procedure was modified.
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.