[Personal experience with laparoscopic treatment of sterility].
OBJECTIVE
Evaluation of laparoscopy in treatment of sterility.


METHODS
Retrospective clinical study.


METHODS
Department of Gynaecology and Obstetrics, Hospital in Bruntal, Czech Republic.


METHODS
In 1997 and 1998 we performed 36 laparoscopic operations in patients with primary or secondary sterility at our department. In women with anovulatory cycles we performed drilling of the ovaries. Adhesions both in and beyond the pelvis were treated by lysis of adhesions, in women under 35 with mild or moderate hydrosalpinx we performed terminal salpingostomy while large hydrosalpinges were treated with salpingectomy and the patients were recommended for assisted reproduction. Success of the treatment was evaluated at least half a year after laparoscopy.


RESULTS
In the anovulatory group, 60% conceived on average 2 months after operation. 36.4% conceived in the group with pelvic adhesions, on average in 5 months and 50% in the salpingostomy group conceived in 8 months.


CONCLUSIONS
Although the number of patients is small, the obtained results prove the usefulness of operative laparoscopy in the treatment algorithm of sterile patients.
Havlík
M
M
Gynek.-porod. oddĕlení, Nemocnice Bruntál.
Sabo
I
I
D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D011247:Pregnancy