title: Laparoscopic adhesiolysis for infertile patients with pelvic adhesive disease.
abstract: Thirty patients with secondary infertility were subjected to laparoscopic adhesiolysis during the period January 1986 to February 1987 at Al-Azhar Endoscopy and Microsurgery Unit. Second look laparoscopy (SLL) was performed after a period of 9-12 months. At laparoscopy, pelvic adhesive disease was staged according to the severity of the disease and compared with the finding at SLL. Five patients defaulted, three patients (12%) became pregnant and 22 patients underwent SLL. Ten patients (45.5%) showed no recurrence of adhesions. This study suggests that laparoscopy has a role in adhesiolysis of mild and moderate adhesions and SLL provides further opportunity to relyse reformed adhesions in some cases.
authors.affiliation: Department of Gynecology and Obstetrics, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
authors.forename: G I
authors.initials: GI
authors.lastname: Serour
authors.forename: M H
authors.initials: MH
authors.lastname: Badraoui
authors.forename: H M
authors.initials: HM
authors.lastname: el Agizi
authors.forename: A F
authors.initials: AF
authors.lastname: Hamed
authors.forename: F
authors.initials: F
authors.lastname: Abdel-Aziz
mesh_terms: D000291:Adnexal Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D007246:Infertility / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D010044:Outpatient Clinics, Hospital; D000267:Tissue Adhesions / Q000601:surgery