Microlaparoscopy for Infertility in the Office

In: Office-Based Infertility Practice · 2002 · pp. 141–146 · doi:10.1007/978-3-642-87690-5_13 · W1843772161
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This paper examines the use of microlaparoscopy in an office setting for the evaluation and treatment of infertility, particularly when caused by pelvic abnormalities like tubal blockage.

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This chapter discusses microlaparoscopy in office-based evaluation of infertility, focusing on tubal-factor etiologies such as salpingitis, endometriosis, and postoperative adhesions, and describing how office laparoscopy under local anesthesia has been used for diagnostic assessment. It synthesizes prior studies on laparoscopy versus hysterosalpingography, diagnostic accuracy of microlaparoscopic approaches, and operational considerations including local versus general anesthesia. A key caveat is that the available evidence is largely drawn from earlier comparative and accuracy studies and is influenced by factors such as surgeon performance and variations in technique, which can affect diagnostic yield. Relevance to endometriosis: the paper explicitly lists endometriosis among the primary causes of tubal-factor infertility and positions microlaparoscopy as a method to assess pelvic pathology contributing to infertility, though the chapter’s main focus is office microlaparoscopy methods rather than endometriosis biology.

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Abstract

Infertility remains a problem of significant magnitude today. In that a major life function, the ability to biologically reproduce, is compromised, this disease represents a major disability to those affected. Moreover, significant secondary psychological trauma often results. Current surveys estimate that approximately 10% of the U.S. population suffer from infertility.1 One of the major etiologic factors in infertility is a pelvic abnormality resulting in tubal blockage. Tubal factor infertility is estimated to be present in 30–40% of women with infertility.2,3 Salpingitis, endometriosis, and postoperative adhesions remain the primary causes.3 Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Sauer MV. Investigation of the female pelvis. J Reprod Med 1993;38:269–276. Witt B. Pelvic factors and infertility. Infertil Reprod Clin North Am 1991;2:371. Trimbos-Kemper T, Trimbos B, van Hall E. Etiological factors in tubal infertility. Fertil Steril 1982;37: 384–388. Rubin I. Nonoperative determination of patency of fallopian tubes in sterility: intrauterine insufflation with oxygen and production of subphrenic pneumoperitoneum: preliminary report. JAMA 1920;75:661. Rubin I. Roentgendiagnostik der uterus tumorens mit hilfe von intrauterine Collargol irrjecktionen: Vorlaeufige Mitteilung. Zentralbl Gynaekol 1914;38: 658. Metha P. A total of 250,136 laparoscopic sterilizations by single operator. Br J Obstet Gynaecol 1989; 96:1024–1034. Childers J, Hatch K, Surwit E. Office laparoscopy and biopsy for evaluation of patients with intraperitoneal carcinomatosis using a new optical catheter. Gynecol Oncol 1992;47:337–342. Steege J. Repeated clinic laparoscopy for the treatment of pelvic adhesions: a pilot study. Obstet Gynecol 1994;83:276–279. Snabes M, Poindexter A III. Laparoscopic tubal sterilization under local anesthesia in women with cyanotic heart disease. Obstet Gynecol 1991;78:437–440. Peterson H, Hulka J, Spielman F, Lee S, Marchbanks P. Local vs. general anesthesia for laparoscopic sterilization: randomized study. Obstet Gynecol 1987; 70:903–908. Brown D, Fishburne J, Roberson V, Hulka J. Ventilatory and blood gas changes during laparoscopy with local anesthesia. Am J Obstet Gynecol 1976; 124:741–745. Wheeless C Jr. Outpatient laparoscopic sterilization under local anesthesia. Obstet Gynecol 1972;39:767–770. Alexander G, Goldrath M, Brown E, Smiler B. Outpatient laparoscopic sterilization under local anesthesia. Am J Obstet Gynecol 1973;116:1065–1068. Fishburne J, Omran K, Hulka J, Mercer J, Edelman D. Laparoscopic tubal clip sterilization under local anesthesia. Fertil Steril 1974;25:762–766. Fishburne JJ. Office laparoscopic sterilization with local anesthesia. J Reprod Med 1977;18:233–234. Palter S, Olive D. Office laparoscopy under local anesthesia for infertility: utility, acceptance, and costbenefit/outcome analysis. Fertil Steril 1995;64:S8. Palter S, Olive D. Office laparoscopy under local anesthesia for chronic pelvic pain. J Am Assoc Gynecol Laparosc 1996;3:359–364. Lundberg W, Wall J, Mathers J. Laparoscopy in evaluation of pelvic pain. Obstet Gynecol 1973;42:872–876. Diamond M, Daniell J, Johns D, et al. Postoperative adhesion development after operative laparoscopy: evaluation at early second look procedures. Fertil Steril 1991;55:700–704. Glatstein IZ, Harlow BL, Hornstein MD. Practice patterns among reproductive endocrinologists: the infertility evaluation. Fertil Steril 1997;67:443–451. Hulka J, Israel R, Hoffman J. During the infertility survey, at which period do you feel endoscopy is indicated? Open forum. Int J Fertil 1980;25:1–6. Taylor HS. Unexplained infertility: the role of laparoscopy. J Reprod Med 1997. Portuondo JA, Pena Irala J, Ibanez E, Echanojauregui AD. Clinical selection of infertile patients for laparoscopy. Int J Fertil 1984;29:234–238. Swart P, Mol BW, van der Veen F, et al. The accuracy of hysterosalpingography in the diagnosis of tubal pathology: a meta-analysis. Fertil Steril 1995; 64:486–491. Swolin K, Rosencrantz RM. Laparoscopy vs. hysteroscopy in sterility investigations, a comparative study. Fertil Steril 1972;23:270–273. Opsahl MS, Miller B, Klein TA. The predictive value of hysterosalpingography for tubal and peritoneal infertility factors. Fertil Steril 1993;60:444–448. Rosenfeld DL, Scidman SM, Bronson RA, Scholl GM. Unsuspected chronic pelvic inflammatory disease in the infertile female. Fertil Steril 1983;39:44–48. Jacobson L. Differential diagnosis of acute pelvic inflammatory disease. Am J Obstet Gynecol 1980; 138:1006. Jacobson L, Westrom L. Objectivized diagnosis of acute pelvic inflammatory disease. Am J Obstet Gynecol 1969;105:1088. Bartsich E, Dillon T. Acute pelvic inflammatory disease: laparoscopic assessment. NY State J Med 1981; 81:25. Gunning J. The history of laparoscopy. J Reprod Med 1974;12:222–226. Short A. The use of celioscopy. BMJ 1925;2:254. Rothfusz E, Kitz D, Andrews R, et al. O2sat HR, MAP among patients receiving local anesthesia. Anesth Analg 1988;67:S189. Penfield A. Laparoscopic sterilization under local anesthesia. Obstet Gynecol 1974; 12:251. Yoon I, King T. A preliminary and intermediate report on a new laparoscopic tubal ring procedure. J Reprod Med 1975;15:54–56. Hulka J, Omran K, Phillips JJ, et al. Sterilization by spring clip: a report of 1000 cases with a 6-month follow-up. Fertil Steril 1975;26:1122–1131. Molloy D. The diagnostic accuracy of a microla-paroscope. J Am Assoc Gynecol Laparosc 1995;2: 203–206. Faber BM, Coddington CC III. Microlaparoscopy: a comparative study of diagnostic accuracy. Fertil Steril 1997;67:952–954. Suggested Reading Group OLS. Postoperative adhesion development after operative laparoscopy: evaluation at early second-look procedures. Fertil Steril 1991;55:700–704. Jansen R. Early laparoscopy after pelvic operations to prevent adhesions: safety and efficacy. Fertil Steril 1988;49:26–31. Marcoux S, Maheux R, Berube S. Laparoscopic surgery in infertile women with minimal or mild endometriosis. Canadian Collaborative Group on Endometriosis. N Engl J Med 1997;337:217–222. Palter SF. Microlaparoscopy under local anesthesia and conscious pain mapping for the diagnosis and management of pelvic pain. Curr Opin Obstet Gynecol 1999;11:387–393. Palter SF. Office microlaparoscopy under local anesthesia. Obstet Gynecol Clin North Am 1999;26:109–120, vii. Palter S. Office laparoscopy under local anesthesia. In: Azziz R, Murphy A (eds). New York: Springer, 1997. Perez R-D. Second-look laparoscopy adhesiolysis: the procedure of choice for preventing adhesion recurrance. J Reprod Med 1991;36:700–702. Raj S, Hulka J. Second-look laparoscopy in infertility surgery: therapeutic and prognostic value. Fertil Steril 1982;38:325–329. Rosser J, Olive D, Zreik T, et al. Decreased performance of skilled laparoscopic surgeons at microlaparoscopy versus traditional laparoscopy. J Am Assoc Gynecol Laparosc 1996;3:S44. Rosser JC Jr, Palter SF, Rodas EB, et al. Minilaparoscopy without general anesthesia for the diagnosis of acute appendicitis. J Soc Laparoendosc Surg 1998;2:79–82. Steege J, Stout A. Resolution of chronic pelvic pain after laparoscopic lysis of adhesions. Am J Obstet Gynecol 1991;165:278–283. Tulandi T, Murray C, Guralnick M. Adhesion formation and reproductive outcome after myomectomy and second-look laparoscopy. Obstet Gynecol 1993;82:213–215. Editor information Editors and Affiliations Rights and permissions Copyright information © 2002 Springer-Verlag New York, Inc. About this chapter Cite this chapter Palter, S.F. (2002). Microlaparoscopy for Infertility in the Office. In: Seifer, D.B., Collins, R.L. (eds) Office-Based Infertility Practice. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-87690-5_13 Download citation DOI: https://doi.org/10.1007/978-3-642-87690-5_13 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-87692-9 Online ISBN: 978-3-642-87690-5 eBook Packages: Springer Book Archive

Keywords

- Local Anesthesia - Obstet Gynecol - Pelvic Inflammatory Disease - Chronic Pelvic Pain - Tubal Factor Infertility These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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