Transvaginal hydrolaparoscopy (THL) was introduced in the evaluation of infertility to explore the pelvic structures in their natural positions. In our clinical experience, THL was performed in 93.3.% of cases with no complication. The overall accuracy of THL in diagnosis of pelvic pathology was 81.8%. More recently, some interventions during THL were reported. We treated 28 clomiphene-resistant, anovulatory women with polycystic ovary syndrome by transvaginal hydrolaparoscopic ovarian drilling using the bipolar VersaPoint system. In conclusion, THL can be proposed as a first line procedure in the routine evaluation of infertile women without clinical or imaging evidence of pelvic disease. Also the surgical treatment can be realized by this technique, when required. Further clinical trials need to elucidate the precise role of THL in the evaluation and management of infertility.

Sesti, F., Marziali, M., & Piccione, E. (2003). Role of transvaginal hydrolaparoscopy in the management of the infertile patient. In WORLD MEETING ON MINIMALLY INVASIVE SURGERY IN GYNECOLOGY.

Role of transvaginal hydrolaparoscopy in the management of the infertile patient

SESTI, FRANCESCO;PICCIONE, EMILIO
2003

Abstract

Transvaginal hydrolaparoscopy (THL) was introduced in the evaluation of infertility to explore the pelvic structures in their natural positions. In our clinical experience, THL was performed in 93.3.% of cases with no complication. The overall accuracy of THL in diagnosis of pelvic pathology was 81.8%. More recently, some interventions during THL were reported. We treated 28 clomiphene-resistant, anovulatory women with polycystic ovary syndrome by transvaginal hydrolaparoscopic ovarian drilling using the bipolar VersaPoint system. In conclusion, THL can be proposed as a first line procedure in the routine evaluation of infertile women without clinical or imaging evidence of pelvic disease. Also the surgical treatment can be realized by this technique, when required. Further clinical trials need to elucidate the precise role of THL in the evaluation and management of infertility.
World Meeting on Minimally Invasive Surgery in Gynecology
Rome, ITALY
JUN 24-28, 2003
Rilevanza internazionale
Settore MED/40 - Ginecologia e Ostetricia
English
POLYCYSTIC-OVARY-SYNDROME; BOWEL INJURY; LAPAROSCOPY; WOMEN; FERTILOSCOPY; ENDOSCOPY; STANDARD
Intervento a convegno
Sesti, F., Marziali, M., & Piccione, E. (2003). Role of transvaginal hydrolaparoscopy in the management of the infertile patient. In WORLD MEETING ON MINIMALLY INVASIVE SURGERY IN GYNECOLOGY.
Sesti, F; Marziali, M; Piccione, E
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2108/49906
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