[Contribution of laparoscopy in improving the therapy in patients with tubal infertility]

The aim of this study is to estimate the advantages of laparoscopy for a correct diagnosis and an adequate treatment in cases of tubal infertility. The group of study included 141 patients, hospitalised and treated in the 2-nd Clinic of Obstetrics and Gynecology Iaşi. We used diagnostic laparoscopy to elaborate the adhesion score and the tubal score. The stage of tubal lesions, estimated by these two scores, orientated the surgical technique: adhesiolysis (43.26% of cases), distal tubal reconstruction--fimbrioplasty (45.39% of cases) or neo-salpingostomy (21.98% of cases)--followed by ovarian drilling. The incidence of the uterine pregnancies obtained (30.10%) was statistically correlated with favorable prognostic factors: minimal adhesion score, minimal and moderate tubal score, type of tubal surgical reconstruction. The favorable correlation between laparoscopy and the results obtained confirms a good case selection and the possibility to use minimal invasive methods in the treatment