{"paper_id":"d7a74e0f-cbe7-4558-9999-4c5de011c82a","body_text":"Diagnostic Laparoscopy to assess tubal and pelvic pathology in patients of subfertility: A retrospective analysis\nKeywords:\ninfertility, laparoscopy, tubal pathologyAbstract\nAims: To assess the tubal pathology contributing to primary and secondary infertility by laparoscopic examination.\nMethods: The study was carried out in the department of Obstetrics and gynecology, Grande International Hospital. This is a retrospective study conducted in tertiary care hospital over a period of 2 yrs. From 2020 February to 2022 January. All patients with complaints of infertility (primary and secondary) who were admitted, evaluated and operated for infertility in Obstetrics and Gynaecology department of Grande international Hospital.\nResults: Of the 52 patients minimum age was 20 and maximum was 46 with mean age of 30.52±4.885. Thirty eight patients had primary infertility and 14 had secondary. Forty patients had normal uterus while 12 had enlarged uterus. Hydrosalpinx was found in 11.5 % and 30.8% in right and left tube respectively. Pyosalpinx was found in 9.6% and 7.7% in right and left tube respectively. Bilateral tubes were patent in 22 cases while bilateral blocked tube was found in 13 cases so rest 17 cases had unilateral tubal block. Pelvic adhesions were found in 44.2 % cases. Most of them were associated with endometriosis (15.4%) followed by ovarian cyst (11.5%) and fibroid uterus (11.5%).\nConclusions: Majority had normal tubal pathology followed by edematous tube, hydrosalpinx and pyosalpinx. Endometriosis, fibroid and ovarian cyst were commonly associated conditions.\nDownloads\nPublished\nHow to Cite\nIssue\nSection\nLicense\nCopyright (c) 2022 Nilam Subedi, Asmita Ghimire, Padam Raj Pant\nThis work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.\nCopyright on any research article in the Nepal Journal of Obstetrics and Gynaecology is retained by the author(s).\nThe authors grant the Nepal Journal of Obstetrics and Gynaecology a license to publish the article and identify itself as the original publisher.\nArticles in the Nepal Journal of Obstetrics and Gynaecology are Open Access articles published under the Creative Commons CC BY-NC License (https://creativecommons.org/licenses/by-nc/4.0/)\nThis license permits use, distribution and reproduction in any medium, provided the original work is properly cited, and it is not used for commercial purposes.","source_license":"CC0","license_restricted":false}