1Баянгол эмнэлэг, 2Эрхүү хотын АУИС
Objectives: To treat tubo-peritoneal genesis unfertility by endoscopic surgery, to evaluate of outcome
Material and methodology: The study enrolled 75 subjects of age 18-41 with 2 or more years history of infertility of tubo-peritoneal genesis and surgery was conducted in Perinatology Center of Irkutsk Medical University. Diagnosis of tubo-peritoneal infertility was confirmed on the basis of imaging endoscope and histerosalpingography data. The degree of commissural process was evaluated by Minvaev method (1997).
Results: The average age of subjects were 28±5, the infertility has lasted for 4±2 years, 42.74% of all cases had an infertility of primary genesis, 57.36% of all cases was a secondary infertility. 36/48%/ of all women repeatedly underwent courses of anti-inflammatory and anti-bacterial biodegradable therapy, 12 women in hospital conditions and another 24 in out-patient conditions. 25/33%/ of all cases had surgical operations on abdominal cavity organs and small pelvis in amanesis, 9/12%/ has been treated from sexually transmitted infections, such as trichomoniasis, gonorrhea, candidiasis, clamidiosis, ureaplasmosis, 5/7%/ of all cases had endometriosis. All patients received surgery treatment, 54(72%) by laparotomy, 17(22.6%) in combination with endoscopy, 4(5.33%) with endoscopic approach. As a result 26/35%/ from all patients have been treated from infertiltiy succesfully.
Conclusion: The main reason of infertility caused by comissural process was varial degree inflammatory proces of reproductive organs (organa genitalia) /48%/, presence of surgical operations on abdominal cavity organs and small pelvis /33%/, caused by chronic sexually transmitted diseases STD /12%/ and endometriosis /7%/. The effect of surgery was highest with fimbrioplasty /fertility percentage 49,4%/. The increase in comissural process degree caused unsatisfactory results of surgery, the same surgery of patients with III-IV degree comissural process has returned fertility to only 18,2% of patients.
