JBR Journal of Interdisciplinary Medicine and Dental Sciences

Hydrolaparoscopy

 Transvaginal hydrolaparoscopy (THL) is an alternate procedure to hysterosalpingography (HSG) and laparotomy that enables direct mental image of the feminine bodily cavity. During this procedure, a trocar is older the canal into the Pouch of pol, associate degreed an optic scope is placed through the trocar sleeve, permitting shut examination of the female internal reproductive organ, ovaries, fallopian tubes, and serosa. No abdominal incision was needed, and therefore the procedure is accomplished in associate degree workplace setting. THL can even be performed in conjunction with chromopertubation, salpingoscopy, microsalpingoscopy, and endoscopy. Dr. Antoine Watrelot from France coined the term “fertiloscopy” for the mix of that procedures.In distinction to ancient HSG for analysis of complex body part patency, THL to boot permits direct examination of the complex body part membrane. as a result of the duct trocar is passed parallel to the axis of the fallopian tubes, the optic scope will additional simply enter the complex body part lumen, allowing examination of the inner complex body part microarchitecture.The operative port on the duct trocar conjointly permits insertion of one operative instrument for adhesiolysis, ablation of adenomyosis, and female internal reproductive organ drilling.     THL was antecedently delineated  by Dr. Stephan Gordts and later changed by Dr. Watrelot within the Nineteen Nineties. The Fertiltoscope was developed specifically for the THL procedure and licenced by European Council Directive in 1993. Dr. Watrelot after reportable over 1500 cases with tokenish complications.Despite its success in France, Italy, Belgium, and China, THL is rarely performed within the us, as proved  by the shortage of telephone system reports of THL procedures drained this country. this is often maybe because of lack of awareness regarding the procedure and concern of body part injury doubtless resulting in a medical malpractice proceedings. the aim of this text is to assist inform gynecologists within the us with THL.

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