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KMID : 0358419770200080545
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Korean Journal of Obstetrics and Gynecology
1977 Volume.20 No. 8 p.545 ~ p.551
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Gynecological Application of Diagnostic Laparoscopy
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장윤석/Chang YS
서상준/Suh SJ
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Abstract
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Ninety-two diagnostic laparoscopies have been performed to assess the clinical impression from June, 1974 to March, 1977. Fifty-one patients with a diagnosis of bilateral tubal occlusion on hysterosalpingography subsequently underwent laparoscopy and injection of dye through the cervix into the uterus. Bilateral tubal patency was demonstrated in 13 patients (25.5%), and unilateral patency in another 13 cases (25.5%). In the 24 cases of possible ectopic prenancy, only 8 cases (33.3%) have been proved to be tubal pregnancy. Two ectopic intrauterine devices were removen by laparoscopy without laparotomy, and in the 12 primary amenorrhea patients many useful findings for treatment have been found by this procedure. In the view of poor results from tubal plastic procedures, it is advocated that laparoscopy be carried out before tubal surgery on all patients with bilateral negative salpngograms. And thus the laparoscopy may frequently obviate unnecessary plastic tubal surgery and exploratory laparotomy for possible ectopic pregnancy.
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