Infertility due to Diseased Pelvic Peritoneum: Laparoscopic Treatment
作者:
Hubert Manhes,
Adrian Shulman,
Thierry Haag,
Michel Canis,
Jean Luc Demontmarin,
期刊:
Gynecologic and Obstetric Investigation
(Karger Available online 1994)
卷期:
Volume 37,
issue 3
页码: 191-195
ISSN:0378-7346
年代: 1994
DOI:10.1159/000292557
出版商: S. Karger AG
关键词: Endometriosis;Infertility;Laparoscopy;Pelvic peritoneum
数据来源: Karger
摘要:
Thirty-one patients complaining of unexplained infertility for at least 36 months and diagnosed elsewhere were reassessed laparoscopically. After staining their pelvic peritoneum with concentrated methylene blue, they presented with extensive areas of dark blue discoloration, and were diagnosed as suffering from ‘diseased pelvic peritoneum’. The levels of peritoneal CA 125 were assessed. At the end of the diagnostic procedure, bipolar electrocoagulation or defocalized laser beam therapy was performed to destroy the affected peritoneal areas, and to allow peritoneal regeneration. Twenty-five pregnancies were obtained following this treatment. A detailed description is given of the diagnosis and treatment procedures.
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