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Utility of early second-look laparoscopy after infertility surgery
T Ozaki1, K Takahashi, M Irikoma
1Department of Obstetrics and Gynecology, Shimane Medical University, 89-1, Enya-cho, Izumo 693-8501, Japan.
Study Objective:
To evaluate the efficacy of early second-look laparoscopy (ESLL) and the usefulness of the American Fertility Society (AFS) adhesion score at ESLL in terms of reproductive prognosis.
Design:
Retrospective study (Canadian Task Force classification II-2).
Setting:
University hospital.
Patients:
Ninety-two consecutive women undergoing infertility surgery between January 1983 and December 1996.
Intervention:
We performed ESLL in all but 32 patients, 27 of whom underwent surgery before institution of the protocol.
Measurements And Main Results:
The pregnancy rate in 1 year was significantly higher in women having ESLL than in those not having the surgery. The AFS score was not significantly different in pregnant and nonpregnant patients.
Conclusion:
Early second-look laparoscopy may improve fecundity in women requiring fertility surgery. (J Am Assoc Gynecol Laparosc 6(2):165-168, 1999)