The EFFECT OF LAPAROSCOPIC ADHESIOLYSIS ON REPRODUCTIVE OUTCOME

Abstract

Abstract

Background: Peritoneal and peri tubal adhesions are a major factor for infertility accounting for 25-30% of cases. We conducted this study in order to observe the outcome of clinical pregnancy after the procedure of salpingo-ovariolysis, with a minimum follow-up period of six months. The aim is to observe the clinical pregnancy outcome after laparoscopic removal of peritoneal related to the uterus and ovaries and peri tubal adhesions in patients with peritoneal and peri tubal adhesions after a minimum period of six months.

Methods: A total of eighty patients with the complaint of infertility and diagnosed with features suggestive of pelvic adhesions (by hysterosalpingogram or by formal pelvic ultrasound) were admitted to perform laparoscopic adhesiolysis and were observed for a period of 6 months to record clinical pregnancy outcome over this period.

Results: The result of clinical pregnancy outcome after a follow-up period of 6 months after the date of surgery, shows 68.8% of cases did not achieve clinical pregnancy, while 31.1% did achieve clinical pregnancy during the given time period.

Conclusion: Laparoscopic treatment of adhesions has an important role in infertility workup. Adhesions should be properly assessed preoperatively as regards the history of previous operations and through investigations (hysterosalpingogram and ultrasound) to aid the process of documentation for retrospective analysis as well as proper post-operative record keeping of intra-operative surgical details for future reference.

Keywords: Laparoscopy, infertility, adhesiolysis, Clinical pregnancy, tubal