Infertility, Female Clinical Trial
Official title:
The Value of Diagnostic Hysterolaparoscopy in Infertile Patients With Normal Hysterosalpingography
The hysteroscopy used was rigid continuous flow diagnostic hysteroscopy (Tuttligen, Karl
Storz, Germany). It has a 30o panoramic optic which is 4mm in diameter and the diagnostic
continuous flow outer sheath is 6.5 mm in diameter.
The patient was placed in lithotomy position with the buttocks projecting slightly beyond
the table edge. A reflex camera (Olympus) with an objective that has a focal length varies
from f70 to f140 together with (Karl Storz) special zoom length, adapter to Hopkins
telescope and a suitable cableware used with computer flash unit. The hysteroscopic picture
which appeared through the optic, transmitted on the monitor by the camera which is fitted
on the eyepiece of the optic where the panoramic diagnostic hysteroscopy could be informed
with better visualization and accuracy. The light generator which is a metal halide
automatic light source with a 150 watt lamp (model G71A,Circon ACMI, Germany) was switched
on and the high cable was attached to the hysteroscope. Dilatation of the cervix was avoided
whenever possible to avoid leakage of the medium into the vagina. The hysteroscope was then
introduced into the external os and advanced under vision along the axis of cervical canal.
Once the cavity was entered, an overview of the uterine cavity was performed. This was
followed by systematic examination for fundus then tubal ostia on both sides then the
uterine wall through slow rotatory movements of the telescope.
Diagnostic laparoscopy was done in the proliferative phase of the menstrual cycle .The
patients were placed in the dorsal lithotomy position to allow vaginal access for uterine
manipulation; the legs positioned so that the thighs are slightly flexed no more than 90o
from the plane of the abdomen.
The patient was placed in the complete horizontal position, Veress needle was placed through
the umbilicus and into the peritoneal cavity, the primary trocar with sleeve (5mm in
diameter) was placed at a similar angle in to the Veress needle.
Secondary trocars were used, 2 secondary trocars were placed. The trocars were placed
laterally, approximately 8 cm from the midline and 8 cm above the pubic symphysis to avoid
the epigastric, vessels which are 5.5 cm from the midline at this level.
Then laparoscopic dye chromotubation was performed
Status | Recruiting |
Enrollment | 80 |
Est. completion date | December 2017 |
Est. primary completion date | December 2017 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 21 Years to 40 Years |
Eligibility |
Inclusion Criteria: 1. Primary infertility defined as failure to conceive after one year of unprotected sexual intercourse 2. No detectable pelvic pathology based on history, physical examination and trans-vaginal ultrasound 3. Previous received treatment of six or more cycles in the form of ovulation stimulation 4. Normal HSG Exclusion Criteria: 1. Couples with male factor infertility 2. Sexual problems 3. Contraindications to laparoscopy |
Country | Name | City | State |
---|---|---|---|
Egypt | Kasr Alainy medical school | Cairo |
Lead Sponsor | Collaborator |
---|---|
Cairo University |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | tubal pathology | tubal patency tested through transcervical dye injection during laparoscopy | 6 months after hsterosalpingogram |
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