Clinical and Experimental Medical Journal
Volume/Issue:
Volume 5: Issue 4
Falloposcopic examinations performed at the department of obstetrics and gynecology, Semmelweis University
Authors:
István Szabó 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

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Zoltán Langmár 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary
Üllői út 78/A, H-1082, Budapest, Hungary

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Gábor Sobel 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

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Zoltán Fontányi 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

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Péter Sziller 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

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Máté Hazay 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

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Ferenc Paulin 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

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Attila Pajor 2nd Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary

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Pages:
217–223
Online Publication Date:
01 Dec 2011
Publication Date:
01 Dec 2011
Article Category:
Research Article
DOI:
https://doi.org/10.1556/CEMED.5.2011.4.5
Keywords:
falloposcopy; hysterosalpingography; infertility
Restricted access

Abstract

Introduction

With the introduction of falloposcopy, an in vivo image of the inner surface of the Fallopian tubes has become available. The tubal factor in subfertile couples also provides specific, clinically relevant, and valuable prognostic information by clearly demonstrating the presence or absence of even minor anatomical abnormalities. We introduced falloposcopy to our clinical practice at the end of 1999.

Objective

To perform tuboscopy in the evaluation of infertility.

Patients and methods

The examination was performed under general anesthesia, using the transcervical (via hysteroscopy) “guide wire” catheterization system and a 0.5-mm falloposcope with 3000 pixels, under laparoscopic control. We attempted this examination in 22 cases.

Results

Differences were found in the falloposcopic image and in the previous finding of hysterosalpingography. We succeeded in cannulating the Fallopian tube even in cases with intramural occlusion showed by hysterosalpingography. In our series, fever was not observed and only one perforation occurred. Submucosal interstitial edema was observed in one of the Fallopian tubes. The mean operational time including the cervical dilatation, hysteroscopic procedure, and laparoscopic CO2 insufflation was 50 min.

Conclusions

After the first introduction of falloposcopy in Hungary, we need to find its place in evaluating infertility and to discuss its indication. Furthermore, the technical difficulties should also be taken into consideration. We recommend incorporating the falloposcopic examination into the screening of infertility.

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Cover Clinical and Experimental Medical Journal
Clinical and Experimental Medical Journal
Print ISSN:
2060-6249
Online ISSN:
2060-968X

Clinical and Experimental Medical Journal
Language English
Size  
Year of
Foundation		 2007
Publication
Programme		 ceased
Volumes
per Year		  
Issues
per Year		  
Publisher Akadémiai Kiadó
Publisher's
Address		 H-1117 Budapest, Hungary 1516 Budapest, PO Box 245
Responsible
Publisher		 Chief Executive Officer, Akadémiai Kiadó
ISSN 2060-6249 (Print)
ISSN 2060-968X (Online)

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