Among 100 patients, 32 had tubal block and amongst them 24 (75%) cases have shown positive dye test after the appropriate interventions like repeated chromotubation test, fimbrial cannulation, fimbrioplasty, 5 cases were associated with adnexal adhesions, endometriosis grade 3-4 with bowel adhesions.
Hysterolaparoscopy has a therapeutic role for application in the same sitting, enabling ovarian drilling, tubal cannulation, fimbrioplasty, adhesiolysis, Uterine septal resection, excision of chocolate cysts, cauterisation of endometrial spots, etc.
Positive Dye Test in Tubal Block after Repeated Chromotubation, Fimbrioplasty, Fallopian Tubal Cannulation Procedure Primary Secondary Total Number Infertility Infertility of Patients Repeated chromotubation 5 6 11 Fimbrial cannulation 3 7 10 Fimbrioplasty 1 2 3 Total number of patients 9 15 24
The aim of this study was to evaluate the fertility outcome of laparoscopic fimbrioplasty and neosalpingostomy in female infertility from 402 cases at the Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital in Yaounde--Cameroon in Central Africa.
Laparoscopic fimbrioplasty and neosalpingostomy were done using bipolar electrocoagulation and conventional endoscopic instruments.
The occurrence of pregnancy after laparoscopic fimbrioplasty and neosalpingostomy: The laparoscopic tubal surgery done included fimbrioplasty in 185(46%) cases and neosalpingostomy in 217 (54%) cases.
The pregnancy rate after neosalpingostomy is 10 to 33% and 20 to 60% after fimbrioplasty (14, 26, 27).
There were three cases of coexisting hydrosalpinx, therefore unilateral salpingectomy was performed in two cases and bilateral fimbrioplasty
was performed in one case.
in 85 patients produced the highest pregnancy rate, 54%, and the highest cumulative conception rate, 74%, in the five groups studied.
Surgical interventions were also performed which include adhesiolysis, fimbrioplasty, tubal cannulation, Ovarian drilling, fulguration of endometriotic lesions, cyst excision, hysteroscopic polypectomy and endometrial curettage.
21 infertile couples conceived - 6 with normal findings on laparohysteroscopy, 5 with laparoscopic ovarian drilling, 4 on anti-tubercular treatment, 2 with proximal tubal cannulation, 2 with fimbrioplasty, 1 with lysis of intra-uterine adhesions followed by Cu-T insertion and hormonal pills for endometrial development and 1 with peritoneal adhesiolysis.
In our study interventions were performed in the form of adhesiolysis in 21% cases, drilling of polycystic ovaries in 26% cases fimbrioplasty in 15%, fulguration or excision of endometriosis nodules in 4% and myomectomy in 3% cases.