A Comparative Interventional Study Using Single Port and Double Port Methods in Diagnostic Laparoscopy for Evaluation of Cases of Infertility
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 1
Abstract
Introduction: Overall incidence of infertility is 10-15%.Of all the couples attempting to conceive, 16% are unsuccessful after one year, this reduce to 8% after 2 years and 7% after 3 years. The aim of this study to compare single puncture with double puncture diagnostic laparoscopic technique and to evaluate benefits and side effects of a second puncture in infertile women. Material and Methods: This study is a hospital based comparative type of interventional study to be conducted in the Mahatma Gandhi Hospital, Bhilwara, Rajasthan. 100 patients divided in two group, Group A (50 Infertile women viewed by single port method) and Group B (50 Infertile women viewed by double port method). Panoramic view of following organsuterus, both ovaries, both tubes, anterior pouch and pouch of Douglas, adhesions, other pathologies (eg Endometriosis, PCOS, TB) and spill of dye to make a diagnosis. Results: Our study showed that the mean age of patients was (26.18±4.46) in single port and 24.74±3.652 in double port, but was not statistically significant (P=0.078) (table 1). In this study the type of infertility was insignificant in single port and double port methods. Visualization of Doglus pouch mostly in double port as compared to single port, which was statistically significant (P<0.0001) (table 2,3,4). The common finding was tubal blockage in 7 (21.9%) and 6 (33.3%) cases of primary and secondary infertility respectively (table 5,6). Conclusion: The results of this study reveal that Hysterosalpingography is of limited diagnostic value in tubal factor infertility and of low diagnostic value for pelvic adhesions. Therefore, we believe that laparoscopy should be performed in cases of abnormal hysterosalpingograms and even in cases of normal hysterosalpingograms in the context of unexplained infertility.
Authors and Affiliations
Sushila Rathi
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