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Transvaginal hydrolaparoscopy (THL) in diagnosing infertility
D Kowalczyk1, W Guzikowski, M Maczka
1Gynecologic-Obstetrical and Neonatus Hospital, Opole, Poland. zoz@ginekologia.opole.pl
Ceska Gynekologie
|November 30, 2006
Summary
Transvaginal hydrolaparoscopy (THL) is a safe and effective new diagnostic method for pelvic pathology and infertility. This minimally invasive technique provides satisfactory visualization and is well-tolerated by patients.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Diagnostic Imaging
Background:
- Novel gynecological diagnostic methods are emerging, including transvaginal hydrolaparoscopy (THL).
- THL enables endoscopic visualization of pelvic organs via the posterior vaginal fornix.
- Peritoneal distension is achieved using saline, with Veress's needle insertion.
Purpose of the Study:
- To evaluate transvaginal hydrolaparoscopy (THL) as a novel diagnostic technique.
- Assessing THL's efficacy in diagnosing pelvic pathology in infertile patients.
Main Methods:
- Transvaginal hydrolaparoscopy (THL) was performed on 56 patients (age 20-40) with primary or secondary infertility.
- Patients had no prior pelvic surgery and normal gynecological examination/vaginal sonography findings.
- Pelvic organs were visualized endoscopically following saline-induced peritoneal distension.
Main Results:
- Satisfactory pelvic visualization was achieved in all THL procedures.
- Pelvic pathology was identified in 57.2% of infertile patients.
- Endometriosis (28.6%) and tubal occlusion (28.6%) were the most common findings; no complications occurred.
Conclusions:
- Transvaginal hydrolaparoscopy (THL) is a well-tolerated and accepted diagnostic procedure.
- THL is a safe, simple, and cost-effective method for diagnosing pelvic pathology.
- THL is a valuable tool for the evaluation of infertility.
