[The cost of laparoscopy in the diagnosis of female infertility].
METHODS
The aim of the study was to estimate the usefulness of laparoscopy in diagnostics of women's infertility.


METHODS
This study is a retrospective review of the notes of 133 infertile women who had undergone laparoscopic procedures--in 88 (66.2%) patients the reason of their infertility was unknown (study group I) and in 45 (33.8%) pelvic pathology (PCO syndrome-37 cases, endometriosis-6 cases and tubal inpatency-2 cases) was supposed (study group II).


RESULTS
In 96 (72.2%) patients (in 51 from group I and in 45 from group II) pelvic pathology was estimated (p < 0.0001 in comparison with diagnostic estimation before laparoscopy). Most frequent pathology in women with unexplained infertility was seen: endometriosis, adhesions and tubal inpatency. During laparoscopy procedure we changed totally preoperative diagnosis in 43.6% patients (58 cases--51 from group I and 7 from group II) and in 9.8% women additional pelvic abnormalities were detected.


CONCLUSIONS
In authors opinion the laparoscopic procedure is very helpful in infertile women and ought to be included in diagnostic standard in cases of unexplained infertility.
Malinowski
A
A
Oddziału Klinicznego Chirurgii Ginekologicznej Instytutu Centrum Zdrowia Matki Polki w Lodzi.
Nowak
M
M
Podciechowski
L
L
Kamiński
T
T
Szpakowski
M
M
D000328:Adult; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis* / Q000209:etiology; D010535:Laparoscopy / Q000379:methods*; D012189:Retrospective Studies