Short-interval second-look laparoscopy after infertility surgery. A preliminary report.

Abstract

Twenty-five patients had short-interval (four- to six-week) second-look laparoscopy (SLL) after major infertility surgery. At SLL, postoperative adhesions were classified as none present in 1 patient, fine and filmy in 19 and dense in 5. Adhesiolysis was performed, with restoration of anatomy and mobility. Tubal patency was verified in all patients by chromotubation. At six months' follow-up, 9 of 25 patients (36%) were pregnant, and no ectopic pregnancies had occurred. The results suggest that short-interval SLL may be advantageous in identifying postoperative adhesions and improving surgical results. Further investigations are required to establish the efficacy of and criteria for patient selection for short-interval SLL.