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A comparison of hysterosalpingography and laparoscopy in the investigation of infertility.

L Montanari, C Bulgarelli, Adama Marra

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Abstract

From 1974-1980, 85 patients were investigated with both hysterosalpingography (HSG) and laparoscopy. Discordant diagnosis of adhesions made the largest group of disagreements. The causes of such and other discrepancies are discussed. The Authors conclude that laparoscopy is necessary to establish a conclusive assessment of the tubal factor and must be performed before HSG. The radiologic investigation still has its place to demonstrate lesions of endosalpinx before microsurgery.

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What this paper is about

From 1974-1980, 85 patients were investigated with both hysterosalpingography (HSG) and laparoscopy. Discordant diagnosis of adhesions made the largest group of disagreements. The causes of such and other discrepancies are discussed. The Authors conclude that laparoscopy is necessary to establish a conclusive assessment of the tubal factor and must be performed before HSG. The radiologic investigation still has its place to demonstrate lesions of endosalpinx before microsurgery.

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Available abstract

From 1974-1980, 85 patients were investigated with both hysterosalpingography (HSG) and laparoscopy. Discordant diagnosis of adhesions made the largest group of disagreements. The causes of such and other discrepancies are discussed. The Authors conclude that laparoscopy is necessary to establish a conclusive assessment of the tubal factor and must be performed before HSG. The radiologic investigation still has its place to demonstrate lesions of endosalpinx before microsurgery.

Key concepts: Hysterosalpingography, Medicine, Laparoscopy, Infertility, Female infertility, Microsurgery, Endoscopy, Gynecology

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