Results of Laparoscopic Management of Infertility in Dakar Teaching Hospital: About 101 Cases

Abstract

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.