title: [Endoscopic diagnosis preceding reconstructive surgery of the fallopian tube].
abstract: Between October 1978 and December 1980 165 diagnostic laparoscopies were carried out because of the suspected diagnosis of primary tubal infertility. In this preselected series 27.9% of the cases had normal findings. It was remarkable that the previous diagnosis was not confirmed in 21 cases which had a prior infertility work-up. In 17 of these cases tubal occlusion was diagnosed by laparoscopy or hysterosalpingography but was not confirmed by the repeat laparoscopy. In addition 1 case of tubal tuberculosis and 1 case of tubal anomaly were detected which were missed with the prior work-up. Because of the findings in this series the repeat diagnostic laparoscopy prior to micro-surgical reconstruction of the fallopian tubes is necessary and the referring clinics should show comprehension for the repeat laparoscopy prior to micro-surgery. In the sequence of diagnostic test, laparoscopy it selected prior to hysterosalpingography.
mesh_terms: D000328:Adult; D005187:Fallopian Tubes / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D007247:Infertility, Female / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D014375:Tuberculoma / Q000473:pathology; D014384:Tuberculosis, Female Genital / Q000150:complications / Q000473:pathology
vernacular_title: Endoskopische Diagnostik vor rekonstruktiven Eingriffen an der Tube.