Utility of early second-look laparoscopy after infertility surgery.
OBJECTIVE
To evaluate the efficacy of early second-look laparoscopy (ESLL) and the usefulness of the American Fertility Society (AFS) adhesion score at ESLL in terms of reproductive prognosis.


METHODS
Retrospective study (Canadian Task Force classification II-2).


METHODS
University hospital.


METHODS
Ninety-two consecutive women undergoing infertility surgery between January 1983 and December 1996.


METHODS
We performed ESLL in all but 32 patients, 27 of whom underwent surgery before institution of the protocol.


RESULTS
The pregnancy rate in 1 year was significantly higher in women having ESLL than in those not having the surgery. The AFS score was not significantly different in pregnant and nonpregnant patients.


CONCLUSIONS
Early second-look laparoscopy may improve fecundity in women requiring fertility surgery. (J Am Assoc Gynecol Laparosc 6(2):165-168, 1999)
Ozaki
T
T
Department of Obstetrics and Gynecology, Shimane Medical University, 89-1, Enya-cho, Izumo 693-8501, Japan.
Takahashi
K
K
Irikoma
M
M
Kurioka
H
H
Miyazaki
K
K
D000328:Adult; D005184:Fallopian Tube Diseases / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D010049:Ovarian Diseases / Q000175:diagnosis* / Q000209:etiology; D011184:Postoperative Period; D011247:Pregnancy / Q000706:statistics & numerical data*; D011379:Prognosis; D012086:Reoperation; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D000267:Tissue Adhesions / Q000175:diagnosis / Q000209:etiology