Jerome D.,Reproductive Specialty Center |
Jerome D.,University of Nice Sophia Antipolis |
Elizabeth B.,Reproductive Specialty Center |
Grace J.,Reproductive Specialty Center |
Charles K.,Reproductive Specialty Center
Asian Pacific Journal of Reproduction | Year: 2012
Objective: To study operative findings for infertile patients with preoperative diagnosis of hydrosalpinges and determine if the ease of hysteroscopic female sterilization may lead to iatrogenic sterility. Methods: Retrospective data, from January 1998 through January 2008, were collected in a fertility center to determine the diagnostic and therapeutic results of laparoscopic surgery for infertile patients with preoperative diagnosis of hydrosalpinges. Results: There were 103 women who would have received hysteroscopic sterilisation based on preoperative imaging, but did not require this and had their fallopian tubes saved through correct laparoscopic assessment (7 patients with patent tubes) or laparoscopic surgical treatment (16 patients, only, requested bilateral salpingectomy). Conclusions: Occluding fallopian tubes on the basis of the hysterosalpingography findings only would result in unnecessary sterilizations. © 2012 Hainan Medical College.
Avellanet Y.R.,Reproductive Specialty Center |
Koh C.,Reproductive Specialty Center
Journal of Gynecologic Surgery | Year: 2011
Background: This is the first reported case, to our knowledge, of multifocal endometriosis associated with primary infertility, involving the abdominal wall, the bowel, and the pelvis. Case: A 38-year-old nulligravid female with no prior abdominopelvic surgical history and a history of primary infertility; central dysmenorrheal; dyspareunia; dyschezia associated with nausea, bloating, indigestion, and constipation; a right upper quadrant (RUQ) lump; and cyclic RUQ and periumbilical pain was evaluated with findings of a palpable RUQ mass of approximately 3cm to the right of the umbilicus. A magnetic resonance imaging scan and ultrasonography revealed the presence of a mass consistent with an abdominal-wall endometrioma. Laparoscopy revealed multifocal endometriosis, including the areas of the right abdominal wall, ileum, appendix, cecum, perirectum, anterior rectum, periureter, bladder, distal vagina, and ovarian endometrioma. The patient underwent radical excision of all endometriosis identified, including the abdominal-wall endometrioma with mesh repair, bowel resection with anastomosis, and ovarian cystectomy. Results: The patient was discharged from the hospital on the 6th postoperative day uneventfully. Conclusions: Given that the diagnosis of subcutaneous endometriosis without any prior surgical procedures is rarely encountered, endometriosis should be included in the differential diagnosis of masses of the abdominal wall in patients reporting cyclic pain symptoms corresponding to menses and infertility. © Copyright 2011, Mary Ann Liebert, Inc.