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Female infertility and laparoscopic surgery: A series of 415 operations at the Yaounde Gyneco-Obstetric and Pediatric Hospital, Cameroon

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DOI: 10.4236/ojog.2013.39121    3,394 Downloads   4,998 Views   Citations

ABSTRACT

Objective: To describe the practice of laparoscopic surgery in the treatment of infertility at the Yaoundé Gyneco-Obstetrics and Pediatric Hospital. Materials and Methods: This was an observational study with retrolective data collection. All patients who underwent laparoscopy for infertility with a complete file were recruited. Data were collected on a pre-established form and analyzed with Microsoft Excel 2007 software. Results: Six hundred and thirty-three women, representing 6.9% of gynecologic operations, underwent laparoscopic surgery during the study period. Infertility accounted for 69.8% (442 cases) of the indications. Four hundred and fifteen files were analyzed. The commonest intraoperative findings were: tubo-peritoneal adhesions (71.6%), hydrosalpinx with distal tubal occlusion (41.5%), peri-hepatic adhesions (22.4%), uterine fibroids (20.2%) and tubal phimosis (14.0%). Adhesiolysis, neosalpingostomy and fimbrioplasty were the commonest surgical gestures. At the end of the procedure, the best tube was staged as favorable in 57.6% of our patients. A complication rate of 4.3% was observed. Conclusion: Infertility is the main indication for laparoscopic surgery in our setting. The main operative findings are tubo-peritoneal adhesions and hydrosalpinx. The most practiced tubal surgical gesture is neosalpingostomy. Half of the recruited women have a favorable stage for the best tube. The complication rate is low.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Mboudou, E. , Foumane, P. , Morfaw, F. , Minkande, J. , Dohbit, J. and Mbatsogo, B. (2013) Female infertility and laparoscopic surgery: A series of 415 operations at the Yaounde Gyneco-Obstetric and Pediatric Hospital, Cameroon. Open Journal of Obstetrics and Gynecology, 3, 663-667. doi: 10.4236/ojog.2013.39121.

References

[1] Raiga, J., Kasia, J.M., Canis, M., Glowaczower, E., Doh, A. and Bruhat, M.A. (1994) Introduction of gynecologic endoscopic surgery in an African setting. International Journal of Gynecology & Obstetrics, 46, 261-264. http://dx.doi.org/10.1016/0020-7292(94)90403-0
[2] Raiga, J., Kasia, J.M. and Bruhat, M.A. (1999) Laparoscopic surgery in the Cameroon. International Journal of Gynecology & Obstetrics, 65, 65-66. http://dx.doi.org/10.1016/S0020-7292(98)00206-9
[3] Kasia, J.M., Raiga, J., Doh, A.S., Biouele, J.M., Pouly, J.L., Kwiatkowski, F., et al. (1997) Laparoscopic fimbrioplasty and neosalpingostomy. Experience of the Yaoundé General Hospital, Cameroon (report of 194 cases). The European Journal of Obstetrics & Gynecology and Reproductive Biology, 73, 71-77. http://dx.doi.org/10.1016/S0301-2115(96)02674-7
[4] Tchente Nguefack, C., Mboudou, E., Tejiokem, M.C. and Doh, A. (2009) Complications of endoscopic surgery at the Gynecologie B department of the Yaoundé General Hospital, Cameroon. Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 38, 545-551. Frenchhttp://dx.doi.org/ 10.1016/j.jgyn.2009.06.008
[5] Belley Priso, E., Mboudou, E., Nana Njamen, T., Egbe Obichemti, T. and Doh, A.S. (2009) Total hysterectomy by laparoscopy: The experience of Douala General Hospital. Clinics in Mother and Child Health, 6, 1135-1138.
[6] Kasia, J.M., Nana Njamen, T., Raiga, J., Calmelet, P., Medou, A., Messina, R., et al. (2006) Laparoscopic hysterectomy in Africa: A series of 48 cases. Journal of SAGO, 7, 26-30.
[7] Foumane, P., Mboudou, E.T., Dohbit, J.S., Mbakop Ndingue, S., Tebeu, P.M. and Doh, A.S. (2011) Conservative treatment of ectopic pregnancy in a sub-Saharan African setting. Tropical Doctor, 41, 79-81. http://dx.doi.org/10.1258/td.2011.100085
[8] Querleu, D., Leblanc, E., Ferron, G. and Narducci, F. (2006) Laparoscopic surgery in gynaecological oncology. European Journal of Surgical Oncology, 32, 853-858. http://dx.doi.org/10.1016/j.ejso. 2006.03.043
[9] Mage, G., Pouly, J.L., de Jolinière, J.B., Chabrand, S., Riouallon, A. and Bruhat, M.A. (1986) A preoperative classification to predict the intrauterine and ectopic pregnancy rates after distal tubal microsurgery. Fertility and Sterility, 46, 807-810.
[10] Takacs, P. and Chakhtoura, N. (2006) Laparotomy to laparoscopy: changing trends in the surgical management of ectopic pregnancy in a tertiary care teaching hospital. Journal of Minimally Invasive Gynecology, 13, 175-177. http://dx.doi.org/10.1016/j.jmig.2006.01.007
[11] Pither, S., Mayi Tsonga, S., Mandji, J.M., Ndombi Onnas, I., Ogowet Igumu, N. and Kasia, J.M. (2007) Gynecological laparoscopic surgery in Libreville: Centre hospitalier de Libreville-experience on 341 cases. Médecine d’Afrique Noire, 54, 94-97.
[12] Sanogo, Z.Z., Yena, S., Doumbia, D., Ouattara, M.O., Koita, A.K., Sidibé, S., et al. (2007) Assessment of 45 months of laparoscopic surgery activity in Bamako. Mali Médical, 22, 47-51.
[13] Mboudou, E.T., Ze Minkande, J., Eyenga, V.C., Foumane, P., Tchente, N.C. and Doh, A.S. (2007) The complications of laparoscopic surgery at the Yaoundé General Hospital, Cameroon. Revue Africaine d’Anesthésiologie et de Médecine d’Urgence, 12, 18-26.
[14] Practice Committee of the American Society for Reproductive Medicine (2012) Committee opinion: Role of tubal surgery in the era of assisted reproductive technology. Fertility and Sterility, 97, 539-545. http://dx.doi.org/10.1016/j.fertnstert.2011.12.031
[15] Belley Priso, E., Mboudou, E., Gonsu Kamga, H., Nana Njamen, T. and Doh, A.S. (2009) Risk factors of female infertility at the Douala General Hospital. Journal Africain d’Imagerie Médicale, 10, 227-233.
[16] Nana, P.N., Wandji, J.C., Fomulu, J.N., Mbu, R.E., Leke, R.J.I. and Woubinwou, M.J. (2011) Psycho-social aspects in infertile patients at the Central Maternity of the Yaoundé Central Hospital, Cameroon. Clinics in Mother and Child Health, 8, 5 p. http://dx.doi.org/10.4303/cmch/C100601
[17] Nzintcheu Youssa, J.M., Foumane, P., Mboudou, E.T., Nana, P.N., Fomulu, J.N. and Doh, A.S. (2012) Perihepatitis as a laparoscopic finding in infertile women at the Yaoundé Gyneco-Obstetric and Pediatric Hospital: Prevalence et correlation with tubo-pelvic lesions. Clinics in Mother and Child Health, 9, 5 p. http://dx.doi.org/10.4303/cmch/C120501
[18] Marana, R., Ferrari, S., Merola, A., Astorri, A.L., Pompa, G., Milardi, D., et al. (2011) Role of a mini-invasive approach in the diagnosis and treatment of tubo-peritoneal infertility as an altenative to IVF. Minerva Ginecologica, 63, 1-10.
[19] Muzii, L., Sereni, M.I., Battista, C., Zullo, M.A., Tambone, V. and Angioli, R. (2010) Tubo-peritoneal factor of infertility: Diagnosis and treatment. Clinical Therapeutics, 161, 77-85.

  
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