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  • Title: Utility of early second-look laparoscopy after infertility surgery.
    Author: Ozaki T, Takahashi K, Irikoma M, Kurioka H, Miyazaki K.
    Journal: J Am Assoc Gynecol Laparosc; 1999 May; 6(2):165-8. PubMed ID: 10226126.
    Abstract:
    STUDY OBJECTIVE: To evaluate the efficacy of early second-look laparoscopy (ESLL) and the usefulness of the American Fertility Society (AFS) adhesion score at ESLL in terms of reproductive prognosis. DESIGN: Retrospective study (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: Ninety-two consecutive women undergoing infertility surgery between January 1983 and December 1996. INTERVENTION: We performed ESLL in all but 32 patients, 27 of whom underwent surgery before institution of the protocol. MEASUREMENTS AND MAIN RESULTS: The pregnancy rate in 1 year was significantly higher in women having ESLL than in those not having the surgery. The AFS score was not significantly different in pregnant and nonpregnant patients. CONCLUSION: Early second-look laparoscopy may improve fecundity in women requiring fertility surgery. (J Am Assoc Gynecol Laparosc 6(2):165-168, 1999)
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