title: Diagnostic and remedial capability of transcervical falloposcopy in conjunction with laparoscopy.
abstract: OBJECTIVE
  Tubal factor accounts for 25-30% of cases of female infertility. Laparoscopy "Gold Standard" for tubal evaluation. However, it is known that during the initial infection of the fallopian tube mucosal damage occurs, a condition which plays a decisive role in reproduction.
  
  
  METHODS
  In this prospective randomized study, 468 infertile women with evidence of fallopian tube disease were included. In this, for 256 patients (group 1) after laparoscopic salpingolysis, salpingostomy we performed an additional step operation transcervical falloposcopy tubal dilatation (TFTD). 212 patients (group 2) produced only laparoscopic salpingolysis, salpingostomy.
  
  
  RESULTS
  As a result, TFTD patency of the fallopian tubes for coaxial catheter was restored in 50 (78%) of 64 tubes with bilateral total occlusion, in 238 (93%) of 254 with partial occlusion of the bilateral, in 14 (58%) of 24 total unilateral occlusion and 26 (92%) of 28 with partial unilateral occlusion. Total number of pregnancies for one year in the first group of patients was 152 (59.3%), in the second 57 (27.1%), of which in the first group 147 -intrauterine pregnancies (57.4%) and in the second - 46 (21.7%).
  
  
  CONCLUSIONS
  Falloposcopy surgeon provides good opportunities for the diagnosis and treatment of intralumen lesions. Significant increase in the frequency of uterine pregnancy in the case of an additional step - TFTD during salpingolysis, salpingostomy in patients with tubal factor infertility.
authors.affiliation: Rostov Scientific Research Institute of Obstetrics and Pediatrics, Ministry of Health of the Russian Federation , Rostov-on-Don , Russia.
authors.forename: A
authors.initials: A
authors.lastname: Kuzmin
authors.forename: V
authors.initials: V
authors.lastname: Linde
mesh_terms: D000328:Adult; D004724:Endoscopy / Q000379:methods* / Q000592:standards; D005184:Fallopian Tube Diseases / Q000601:surgery; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000601:surgery*; D010535:Laparoscopy; D011247:Pregnancy; D011446:Prospective Studies; D055815:Young Adult
keywords: Falloposcopy; laparoscopy; reproductive surgery; tubal infertility