LAPAROSCOPIC TUBAL SURGERY.AN UPDATE .

Abstract

The ability to see inside the abdomen and pelvic cavity via a steel tube containing a series of optic lenses has revolutionized the practice of Gynecology and taken much of the guess out of the diagnostic process. Initially, laparoscopy was used for the diagnosis of pelvic pain and infertility, but with the development of specially designed long surgical instruments it became possible to perform surgical procedures, staring from division of adhesions, treatment of benign ovarian cyst and fetllale ... sterilization procedures up to total hysterectomy, lymphadenectomy and

oncological operations. Tubal disease is identified in approx. 30-40% of infertile couples. So, Laparoscopy with tubal lavage is considered the critical standard for evaluating tubal patency and other peritoneal factors as it offers direct visualization of the pelvic anatomy and determine the appearance of the fimbria, presence of periadnexal adhesions and endometriosis. Laparoscopy ts often recommended when the hysterosalpingogram test suggests tubal factor.