Трансвагінальна гідролапароскопія та діагностична лапароскопія у субфертильних пацієнток – порівнювальний аналіз

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.