Utility of early second-look laparoscopy after infertility surgery.

STUDY

OBJECTIVE

To evaluate the efficacy of early second-look laparoscopy (ESLL) and the usefulness of the American Fertility Society (AFS) adhesion score at ESLL in terms of reproductive prognosis.

DESIGN

Retrospective study (Canadian Task Force classification II-2).

SETTING

University hospital.

PATIENTS: Ninety-two consecutive women undergoing infertility surgery between January 1983 and December 1996.

INTERVENTION: We performed ESLL in all but 32 patients, 27 of whom underwent surgery before institution of the protocol.

MEASUREMENTS AND MAIN

RESULTS

The pregnancy rate in 1 year was significantly higher in women having ESLL than in those not having the surgery. The AFS score was not significantly different in pregnant and nonpregnant patients.

CONCLUSION

Early second-look laparoscopy may improve fecundity in women requiring fertility surgery. (J Am Assoc Gynecol Laparosc 6(2):165-168, 1999)