Abstract:
Standard transabdominal laparoscopy (TL) is considered to be a "gold
standard" of infertility women clinical examination. TL is used often
only after prolonged unsuccessful treatment because of intubational
anaesthesia necessity and intraoperational complications. Transvaginal hydrolaparoscopy (TVHL) uses transvaginal access with the thinneedled punctional technics and can be executed in out-patient conditions under local anaesthesia. The data of TVHL results accordance
to the data of TL diagnostic are absent in the literature.
The prospective comparative investigation is performed aimed to
TVHL principal possibility, safety and diagnostic accuracy vs the diagnostic TL in 56 infertility women. The rate of pelvis minor successful
access reached 96.4%. The rate of complications equaled to 5.5%. In
92.5% of all cases both TVHL and TL diagnoses were equal.
Women infertility failed to follow by internal sexual organs structural changes in 50% of cases. These women revealed no pathology during both TVHL and TL examination. Some cases of unusual (pathological) TVHL-findings had no normal physiological transabdominal
laparoscopic pelvis minor characteristic.
Our data demonstrate that TVHL is highly informative and safe miniinvazive technique of subfertile patients examination in compare
with classic transabdominal endoscopic intervention.
