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  • Title: [Endoscopic diagnosis preceding reconstructive surgery of the fallopian tube].
    Author: Scheidel P, Hepp H.
    Journal: Geburtshilfe Frauenheilkd; 1982 Nov; 42(11):824-8. PubMed ID: 6218010.
    Abstract:
    Between October 1978 and December 1980 165 diagnostic laparoscopies were carried out because of the suspected diagnosis of primary tubal infertility. In this preselected series 27.9% of the cases had normal findings. It was remarkable that the previous diagnosis was not confirmed in 21 cases which had a prior infertility work-up. In 17 of these cases tubal occlusion was diagnosed by laparoscopy or hysterosalpingography but was not confirmed by the repeat laparoscopy. In addition 1 case of tubal tuberculosis and 1 case of tubal anomaly were detected which were missed with the prior work-up. Because of the findings in this series the repeat diagnostic laparoscopy prior to micro-surgical reconstruction of the fallopian tubes is necessary and the referring clinics should show comprehension for the repeat laparoscopy prior to micro-surgery. In the sequence of diagnostic test, laparoscopy it selected prior to hysterosalpingography.
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