Laparoscopic adhesiolysis for infertile patients with pelvic adhesive disease.
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.
Serour
G I
GI
Department of Gynecology and Obstetrics, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Badraoui
M H
MH
el Agizi
H M
HM
Hamed
A F
AF
Abdel-Aziz
F
F
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