Complex one-stop investigation of infertility: transvaginal hydrolaparoscopy

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Transvaginal hydrolaparoscopy as an outpatient procedure for infertility investigation.

A new technique called transvaginal hydrolaparoscopy is described for the exploration of the tubo-ovarian structures in infertile patients without obvious pelvic pathology. It aims to be an acceptable alternative to diagnostic laparoscopy, a standard but not innocuous procedure which infrequently reveals pathology in the asymptomatic patient. Transvaginal hydrolaparoscopy copy is performed unde...

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Transvaginal Hydrolaparoscopy

Transvaginal hydrolaparoscopy (THL) is being performed regularly in Europe and China, but rarely in the United States. The reasons may be physicians' unfamiliarity with the procedure and their uneasiness over potential rectal puncturing due to the proximity of the rectum to the vaginal trocar insertion site. THL has the advantage over hysterosalpingography (HSG) in that it allows for direct vi...

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Comparison of hysterosalpingography and transvaginal hydrolaparoscopy in patients with tubal factor infertility: a prospective cohort study

AIM To evaluate the usefulness, diagnostic accuracy, and cost-effectiveness of transvaginal hydrolaparoscopy (THL) in infertile women with abnormal hysterosalpingogram (HSG) results without obvious pelvic pathology. MATERIAL AND METHODS THIRTY INFERTILE WOMEN (AGE: 20-40 years) who had tubal pathology in HSG were enrolled in the study. All patients underwent THL instead of standard laparoscop...

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Transvaginal hydrolaparoscopy: an advance or a gimmick!

Objective: Transvaginal Hydrolaparoscopy (TVHL) is the recent modification of a well known gynecological procedure culdoscopy used for exploration of the pelvic cavity that takes advantages of micro-endoscopic technology and uses aquafloatation for inspection of the tubo-ovarian structures. This is a case series to evaluate the feasibility, procedure performance and complications of Transvagina...

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Prognostic capacity of transvaginal hydrolaparoscopy to predict spontaneous pregnancy.

BACKGROUND In 1998, transvaginal hydrolaparoscopy (THL) was introduced as a new outpatient procedure for exploration of tubo-ovarian structures and tubal patency in subfertile patients. At present, there are no large studies that relate the findings at THL to fertility outcome. METHODS Consecutive patients undergoing THL for subfertility between 2000 and 2004 were included in this prospective...

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ژورنال

عنوان ژورنال: Gynecological Surgery

سال: 2006

ISSN: 1613-2076,1613-2084

DOI: 10.1007/s10397-006-0241-x