Results of Laparoscopic Management of Infertility in Dakar Teaching Hospital: About 101 Cases
Mbaye M*, Guèye M, Ngom PM, Diouf AA, Niang MM, Gassama O, Diallo M, Cissé ML, Diouf A and Moreau JC
Clinique Gynécologique et Obstétricale, EPS Aristide Le Dantec, 3, Avenue Pasteur BP 3001, Dakar, Sénégal
- Corresponding Author:
- Maguette Mbaye
Clinique Gynécologique et Obstétricale
EPS Aristide Le Dantec, 3
Avenue Pasteur BP 3001, Dakar, Sénégal
Tel: 00 (221) 77 6314784
E-mail: [email protected]
Received May 06, 2016; Accepted June 01, 2016; Published June 08, 2016
Citation: Mbaye M, Guèye M, Ngom PM, Diouf AA, Niang MM, et al. (2016) Results of Laparoscopic Management of Infertility in Dakar Teaching Hospital: About 101 Cases. J Fertil In Vitro IVF Worldw Reprod Med Genet Stem Cell Biol4:184. doi:10.4172/2375-4508.1000184
Copyright: © 2016 Mbaye M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Define the epidemiological and clinical profile of patients with infertility and evaluate the laparoscopy assessment at Dakar Teaching Hospital.
Methods: This is a prospective, descriptive and analytic study on a series of 101 patients followed for infertility and supported by laparoscopy from June1st, 2009 to December 31, 2011. For each patient, the socio-demographic and clinical data of operation and the scalable suites were studied.
Results: Laparoscopy assessements were performed on 39.5% of patients followed for infertility representing 78.9% of laparoscopy indications. The average age of patients was 29 years and mean parity was 1.2. Infertility type was primary in 39.6% of cases and secondary in 60.4% of patients. Sexually transmitted diseases background was found in 51% of cases. Pathologies encountered were dominated by tubal abnormalities (70% of cases). The operative procedures which were performed were adhesiolysis (35.1%), tubal plasty (30.4%) and methylene blue dye test for tubal patency. Conversion was necessary in 4.9% of cases motivated by the importance of adhesions (3 cases) or technical difficulties (2 cases). The main complications were represented by a vascular wound and uterine perforation. The post-operative course was uneventful in 96% of cases. We observed a pregnancy rate of 5.9% of cases beside an indication of medically assisted procreation in 28.7% of cases.
Conclusion: The development of the endoscopic approach becomes a necessity due to the importance of tubal infertility caused by infections. Its laparoscopic diagnosis and treatment at an early stage may improve the prognosis.