Diagnostic laparoscopy: a prognostic aid in the surgical management of infertility

R Israel, Robert H. Israel, Charles M. March, C M March
American journal of obstetrics and gynecology · 1976 · vol. 125(7) , pp. 969–975 · doi:10.1016/0002-9378(76)90498-1 · PMID:133612 · W979752245
Other OA: closed CC0 ⤵ 6 in-corpus citations
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This paper evaluates the utility of diagnostic laparoscopy as a prognostic tool to guide surgical management decisions in patients experiencing infertility.

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Abstract

Laparoscopy was utilized as the final step in the infertility investigation of 155 indigent patients. Unnecessary laparotomy was avoided in 72 (46 per cent) of these patients. Depending upon the endoscopic findings, the presence of additional infertility factor(s) either positively or negatively affected prognosis. With the same anesthetic, 83 (54 per cent) of the 155 patients underwent conservative infertility operations. Unless even greater selectivity can be achieved by prior diagnostic laparoscopy, the postoperative term pregnancy rate (11 per cent) does not justify infertility operations in a population prone to pelvic inflammatory disease, particularly in those individuals with other infertility factors.

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Condition tags

infertility

MeSH descriptors

Hysterosalpingography Infertility, Female Laparoscopy Adult Fallopian Tube Patency Tests Fallopian Tubes Fallopian Tubes Female Humans Infertility, Female Ovulation Detection Pregnancy Pregnancy, Ectopic Pregnancy, Ectopic

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (17)

Cited by (5)

Source provenance

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License: CC0 · commercial use OK