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Diagnostic and therapeutic hysterolaparoscopy in evaluation and treatment of female infertility in a tertiary hospital

Sasmita Behuria, Rohani Nayak.

Abstract
Background: To corroborate the findings of hystero-laparoscopy for evaluation of female infertility in a tertiary hospital over a period of 18 months. This study is intended to review the effectiveness of combining diagnostic hysteroscopy and laparoscopy in predicting the prevalence of different lesions with accuracy and taking appropriate therapeutic measures.
Methods: This is a prospective study conducted at the Dept of O and GSCB Medical College, Cuttack, Odisha over a period of 18 months (April 2014 to October 2015). Those infertile women where the period of infertility was more than 2 years with optimum male factor were subjected to diagnostic hysteroscopy and laparoscopy under general anaesthesia.
Results: Of 235 cases recruited 64% were having primary infertility and 36% were having secondary infertility.46% had hysteroscopic abnormality and 39.5%had laparoscopic abnormality. Among the abnormal hysteroscopy cases septate uterus was highest and among laparoscopic finding peritoneal adhesions was highest. All the cases undergoing DTHL were discharged on the next day with no major complication except 2 cases which were managed at the same time.
Conclusions: DTHL is an effective and safe procedure for female infertility evaluation. This can be taken as a gold standard method in those whose infertility is more than 2 years.

Key words: Diagnostic and therapeutic, Hystero-laparoscopy, Infertility


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