STUDY OF OPERATIVE OUTCOME OF CORNUAL CANNULATION IN HYSTEROLAPAROSCOPY

Abstract

Tubo-Peritoneal disease is the cause of infertility in approximately 30% of women, and 10–25% of these are due to proximal tubal obstruction. Hysterosalpngography(HSG) can diagnose the proximal tubal block but confirmation needed by hysterolaparoscopic chromopertubation before subjecting patient to expensive reproductive techniques. In our study of 48 cases, we find out the success rate of cornual cannulation by catheter-guidewire system is almost 81.25% with false positive rate of HSG is 27.2% and sensitivity of 86.4%. We also find out that pelvic inflammatory disease and tuberculosis contributes to 43.9% cases of proximal tubal block and success rate was approximately 50% can be achived in this cases. Hysterolaparoscopic cornual cannulation is simple, cost effective and promising treatment for proximal tubal pathology than tubo-cornual anastomosis with minimal complications. So we conclude that it should be offer on priority basis to treat infertile patients.