Hysterolaparoscopy as a comprehensive diagnostic and therapeutic tool in modern art

Karupothula V. Sireesha; Yelamanchali Himabindu; Anam Ul Haq; Gogineni Kavitha; Donthu Kiranmai

doi:10.18203/2320-1770.ijrcog20233153

Authors

Karupothula V. Sireesha Department of Reproductive Medicine and Surgery, GSL Medical College, Rajahmundry, Andhra Pradesh, India
Yelamanchali Himabindu Department of Reproductive Medicine and Surgery, GSL Medical College, Rajahmundry, Andhra Pradesh, India
Anam Ul Haq Department of Reproductive Medicine and Surgery, GSL Medical College, Rajahmundry, Andhra Pradesh, India
Gogineni Kavitha Department of Reproductive Medicine and Surgery, GSL Medical College, Rajahmundry, Andhra Pradesh, India
Donthu Kiranmai Department of Reproductive Medicine and Surgery, GSL Medical College, Rajahmundry, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20233153

Keywords:

Infertility, Hysteroscopy, Laparoscopy, Hysterolaparoscopy, Tubal factor, Peritoneal factor, Primary, Secondary, PCOS, Endometriosis, Myomectomy, Septal resection

Abstract

Background: Infertility affects about 10-15% of reproductive age couple and is increasing globally. None of the laboratory findings alone are conclusive in diagnosing infertility. The ability to visualize and simultaneously treat the identified pathology makes hysterolaparoscopy an essential part of infertility management. Aim of the study was to evaluate hysterolaparoscopy as a comprehensive diagnostic and therapeutic tool in female infertility management. Objective of the study was to evaluate various etiological factors in infertility and the therapeutic interventions done during hysterolaparoscopy.

Methods: A cross-sectional study of 250 cases over one year from October 2021 to September 2022 at a teritiary care hospital. Women with primary or secondary infertility aged between 20-40 years were included. Patients with contraindications for general anaesthesia and active pelvic infection were excluded.

Results: Out of 250 patients, 195(78%) had primary infertility and 55(22%) had secondary infertility. In primary infertility group 69% and in secondary infertility group 87.7% had abnormal laparoscopy findings. The most common laparoscopic abnormality is tubal factor both in primary infertility (58%) and secondary infertility (58%) group and on hysteroscopy, endometritis is the commonest abnormality in both.

Conclusions: In experienced hands, hysterolaparoscopy is a very safe operation. The abnormalities of pelvic and uterus can be diagnosed and also resolved in hysterolaparoscopy at the same time. Also, the future plan of management can be taken in time after the evaluation.

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