ABSTRACT

Background: Recurrent pregnancy loss (RPL) has a major effect on couples psychological as well as social status. There is data from few studies which shows that hysteroscopy, laparoscopy and sono-hysterography are accurate diagnostic procedures which help us in the evaluation of the structural anomalies of the uterus as these contribute to RPL. Aim: To find the percentage of patients with abnormal findings being diagnosed by combined hysteroscopy and laparoscopy alone in cases of RPL

Methods: This cross-sectional study was conducted in the Department of Obstetrics & Gynecology Sir Ganga Ram Hospital, Lahore for a period of 6 months from February 2014 to August 2014 150 females meeting the inclusion criteria were enrolled. Laparoscopy and hysteroscopy was performed one after another on the same visit under general anesthesia to avoid repeated anesthesia exposure. The patients had step Trendelenburg position where the knees were slightly flexed. Data was analyzed by using SPSS v.21.

Results: The mean age of patients was 29.21±4.26 years in our study group. In this study, abnormal findings were diagnosed in 64 (42.7%) patients by combined hysteroscopy and laparoscopy while in 82 (54.7%) patients by laparoscopy alone. The difference in both techniques was significant (p-value= 0.03).

Conclusion: We concluded that the percentage of patients with abnormal findings being diagnosed by combined hysteroscopy are significantly different when compared to laparoscopy alone in cases of RPL. However, our results should be considered as primary in absence of some other local trials.

Keywords: Recurrent pregnancy loss, combined hysteroscopy and laparoscopy alone, abnormal findings