[Endoscopy in gynecology and obstetrics].
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Biomedical subjects
Publications and source records attributed to T Pisarski.
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Clinical study in 98 women with genital endometriosis was performed. In 33 patient endometriosis was treated by operative laparoscopy-electrocauterization of foci in 20 women, ovarian cyst resection in 9 and cyst extrication in 4. In 10 cases laparoscopy was followed by laparotomy. Very high correlation between endometriosis and infertility was found (71.4%). Very few patients conceived till now (28.57%). Searching in the time of laparoscopy very subtle foci of endometriosis was stressed.
Value of the laparoscopy in diagnostic process and treatment of the polycystic ovaries was analysed. Authors have presented changes in the procedure which occurred after developing new technologies. The first results of the operative laparoscopy, with use of monopolar cauterization are described.
Authors have presented 45 clinical situations where laparoscopy was followed by laparotomy. Pre- and intraoperative diagnosis was analyzed. Dense adhesions were the most common indication to perform laparotomy (43%).
The aim of this study was evaluation of uterine factors in sterility and infertility using hysterosalpingographic and hysteroscopic techniques. Sixty five women ranged in age from 22 to 40 years were included in this study. The results of performed hysterosalpingographies and hysteroscopies were compared. Intrauterine changes found during diagnostic procedures were removed in operative hysteroscopy and the effectiveness of this treatment was estimated by pregnancy rate. The most frequent changes found within cervical canal and uterine cavity were adhesions and endometrial polyps. The rate of uterine septa and submucous myomas were considerable lower. Hysteroscopy was found the best diagnostic method in evaluation of intrauterine conditions for fertility and considerably increased the range of information about the type and location of uterine abnormalities. The removal of those changes during operative hysteroscopy increased the fertility rate in women treated with this procedure.
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