Complex one-stop investigation of infertility: transvaginal hydrolaparoscopy

Ivan Mgaloblishvili, Manana Mgaloblishvili, Ketevan Osidze, Natalia Beria
In: Gynecological Surgery · 2006 · vol. 4(2) , pp. 79–83 · doi:10.1007/s10397-006-0241-x · W2022550039
article OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-09 ⓘ

Transvaginal hydrolaparoscopy (TVHL) allows atraumatic, ambulatory investigation of reproductive organs, integrating with other methods for complex infertility assessment and determining the need for pelvioscopy.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This paper describes a one-stop, endoscopy-based infertility workup using hysteroscopy, sonohysterosalpingography with saline instillation under ultrasonographic control to expose and visualize the posterior fornix/pouch of Douglas, and then transvaginal hydrolaparoscopy (TVHL) with dye chromopertubation and salpingoscopy when prior steps indicate no contraindications. Across 837 infertile women (April 2002–November 2005), TVHL was completed in 702 (with 135, 16.1%, having the procedure cancelled or postponed based on predefined safety/feasibility criteria), and the authors report no complications. A stated limitation is that ultrasonographic control during TVHL cannot assess adhesions’ roles in key fimbrial-ovarian areas. Relevance to endometriosis: the authors list “retro cervical endometriosis” as part of thickened posterior fornix/structural changes considered a factor affecting TVHL safety/cancellation, though the paper’s main focus is an infertility diagnostic workflow using TVHL.

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