[Study on combined transvaginal hydrolaparoscopy and hysteroscopy in patients with infertility].
OBJECTIVE
To evaluate the advantages of combined transvaginal hydrolaparoscopy (THL) and hysteroscopy in patients with infertility.


METHODS
Twenty-three primary infertile patients (primary group) and 23 secondary infertile patients (secondary group) were received THL (using a 3-mm scope with a 0 degrees lens) and hysteroscopy. The fallopian tube patency, pelvic pathology, operative time, discharge time, healing time of vaginal wound, success rate of insertion into the pouch of Douglas and intra- and postoperative complications were observed.


RESULTS
Primary group had more tube patency cases (P < 0.05) and fewer pelvic adhesion cases (P < 0.05) when compared with secondary group. Only 15.2% patients needed conventional laparoscopy postoperatively. The time of THL, overall time of operation, discharge time, and healing time of vaginal wound were respectively (10.5 +/- 1.7) min, (32.2 +/- 4.6) min, (87.3 +/- 12.5) min, and (4.5 +/- 0.5) days. No complications occurred.


CONCLUSIONS
THL is accurate, minimally invasive, safe, economical, and does not require hospitalization. It could serve as a first-line procedure in early stages of infertility investigation when combined with hysteroscopy.
Hu
Xiao-liang
XL
Department of Obstetrics and Gynecology, Second Affiliated Hospital of Jinan University, Shenzhen 518020, China.
Xu
Hong-li
HL
D000328:Adult; D005184:Fallopian Tube Diseases / Q000150:complications / Q000175:diagnosis*; D005186:Fallopian Tube Patency Tests; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000175:diagnosis* / Q000209:etiology; D010535:Laparoscopy / Q000379:methods*