Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo)

Objective: Analyze the determinants of the indication for laparoscopy in case of tubal obstruction on hysterosalpingography at the University Hospital Center of Brazzaville. Methods: Cross-sectional analytical study, conducted from January 1, 2015 to December 31, 2019, in the Obstetrics Gynecology Department of the University Hospital Center of Brazzaville, comparing 108 infertile patients with tubal obstruction to hysterosalpingography confirmed by methylene blue test (MBT-) in laparoscopy and 78 infertile patients with positive methylene blue test (MBT+) invalidating tubal obstruction in laparoscopy. Epi Info 7 software was used for statistical analysis. The p-value was considered significant for a p value < 5%. Results: Tubal obstruction was confirmed (MBT-) in 108 patients among the 186 selected for the study, i.e. 58.1%, and reversed (MBT+) in 78 patients, i.e. 41.9%. Tubal obstruction on laparoscopy was most observed in patients over 30 years old (84.3% vs 70.5%; OR=2.2 [1.1-4.6]; p<0.05), history of abortive endo-uterine maneuver (ORa=26 [17.9-38.9]; p<0.05), ectopic pregnancy (ORa=3.2 [1.4-52.1]; p<0.05), pelvic surgeries such as myomectomy (ORa=4.1 [1.2-18.4]; p<0.05), appendectomy (ORa=28.5 [1.5-54.7]; p<0.05) and salpingectomy (ORa=4.8 [2.3-12.5]; p<0.05) and suffering from chronic pelvic pain (ORa =4.1 [1.1-15.7]; p<0.03). The distal location of the tubal obstruction on HSG (ORa=2.8 [1.5-14.3]; p<0.05) and seropositivity for chlamydia trachomatis (ORa=41.2 [7.2 -234.8]; p<0.05) were most associated with negative MBT. Conclusion: The decision to perform a laparoscopy for tubal obstruction revealed by hysterosalpingography should take into account the determinants thus identified, especially when it comes to proximal tubal obstruction. | Published in | Journal of Gynecology and Obstetrics (Volume 10, Issue 2) | | DOI | 10.11648/j.jgo.20221002.19 | | Page(s) | 120-125 | | Creative Commons | This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. | | Copyright | Copyright © The Author(s), 2022. Published by Science Publishing Group |

Tubal Obstruction, Hysterosalpingography, Laparoscopy, Determinants, Brazzaville

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Obstet. 2022, 10(2), 120-125. doi: 10.11648/j.jgo.20221002.19 AMA Style Potokoue Mpia Sekangue Samantha Nuelly, Buambo Gauthier Regis Jostin, Eouani Levy Max Emery, Bidzi Mbiene Pacome, Mokoko Jules Cesar, et al. Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo). J Gynecol Obstet. 2022;10(2):120-125. doi: 10.11648/j.jgo.20221002.19 - @article{10.11648/j.jgo.20221002.19, author = {Potokoue Mpia Sekangue Samantha Nuelly and Buambo Gauthier Regis Jostin and Eouani Levy Max Emery and Bidzi Mbiene Pacome and Mokoko Jules Cesar and Itoua Clautaire and Iloki Leon Herve}, title = {Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo)}, journal = {Journal of Gynecology and Obstetrics}, volume = {10}, number = {2}, pages = {120-125}, doi = {10.11648/j.jgo.20221002.19}, url = {https://doi.org/10.11648/j.jgo.20221002.19}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221002.19}, abstract = {Objective: Analyze the determinants of the indication for laparoscopy in case of tubal obstruction on hysterosalpingography at the University Hospital Center of Brazzaville. Methods: Cross-sectional analytical study, conducted from January 1, 2015 to December 31, 2019, in the Obstetrics Gynecology Department of the University Hospital Center of Brazzaville, comparing 108 infertile patients with tubal obstruction to hysterosalpingography confirmed by methylene blue test (MBT-) in laparoscopy and 78 infertile patients with positive methylene blue test (MBT+) invalidating tubal obstruction in laparoscopy. Epi Info 7 software was used for statistical analysis. The p-value was considered significant for a p value Results: Tubal obstruction was confirmed (MBT-) in 108 patients among the 186 selected for the study, i.e. 58.1%, and reversed (MBT+) in 78 patients, i.e. 41.9%. Tubal obstruction on laparoscopy was most observed in patients over 30 years old (84.3% vs 70.5%; OR=2.2 [1.1-4.6]; pConclusion: The decision to perform a laparoscopy for tubal obstruction revealed by hysterosalpingography should take into account the determinants thus identified, especially when it comes to proximal tubal obstruction.}, year = {2022} } - TY - JOUR T1 - Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo) AU - Potokoue Mpia Sekangue Samantha Nuelly AU - Buambo Gauthier Regis Jostin AU - Eouani Levy Max Emery AU - Bidzi Mbiene Pacome AU - Mokoko Jules Cesar AU - Itoua Clautaire AU - Iloki Leon Herve Y1 - 2022/04/09 PY - 2022 N1 - https://doi.org/10.11648/j.jgo.20221002.19 DO - 10.11648/j.jgo.20221002.19 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 120 EP - 125 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20221002.19 AB - Objective: Analyze the determinants of the indication for laparoscopy in case of tubal obstruction on hysterosalpingography at the University Hospital Center of Brazzaville. Methods: Cross-sectional analytical study, conducted from January 1, 2015 to December 31, 2019, in the Obstetrics Gynecology Department of the University Hospital Center of Brazzaville, comparing 108 infertile patients with tubal obstruction to hysterosalpingography confirmed by methylene blue test (MBT-) in laparoscopy and 78 infertile patients with positive methylene blue test (MBT+) invalidating tubal obstruction in laparoscopy. Epi Info 7 software was used for statistical analysis. The p-value was considered significant for a p value Results: Tubal obstruction was confirmed (MBT-) in 108 patients among the 186 selected for the study, i.e. 58.1%, and reversed (MBT+) in 78 patients, i.e. 41.9%. Tubal obstruction on laparoscopy was most observed in patients over 30 years old (84.3% vs 70.5%; OR=2.2 [1.1-4.6]; pConclusion: The decision to perform a laparoscopy for tubal obstruction revealed by hysterosalpingography should take into account the determinants thus identified, especially when it comes to proximal tubal obstruction. VL - 10 IS - 2 ER - Author Information Copyright © 2012 -- 2026 Science Publishing Group – All rights reserved.