Author(s)

Emile Telesphore Mboudou, Pascal Foumane, Frederick Lifang-Ikomi Morfaw, Jacqueline Ze Minkande, Julius Sama Dohbit, Bernard Armand Enama Mbatsogo

Department of Anesthesiology and Reanimation, Yaoundé Gyneco-Obstetric and Pediatric Hospital, Yaoundé, Cameroon.
Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences (FMBS), The University of Yaoundé 1, Yaoundé, Cameroon.
Department of Obstetrics and Gynecology, Yaoundé Gyneco-Obstetric and Pediatric Hospital, Yaoundé, Cameroon.

Objective: To describe the practice of laparoscopic surgery in the treatment of infertility at the Yaoundé Gyneco-Obstetrics and Pediatric Hospital. Materials and Methods: This was an observational study with retrolective data collection. All patients who underwent laparoscopy for infertility with a complete file were recruited. Data were collected on a pre-established form and analyzed with Microsoft Excel 2007 software. Results: Six hundred and thirty-three women, representing 6.9% of gynecologic operations, underwent laparoscopic surgery during the study period. Infertility accounted for 69.8% (442 cases) of the indications. Four hundred and fifteen files were analyzed. The commonest intraoperative findings were: tubo-peritoneal adhesions (71.6%), hydrosalpinx with distal tubal occlusion (41.5%), peri-hepatic adhesions (22.4%), uterine fibroids (20.2%) and tubal phimosis (14.0%). Adhesiolysis, neosalpingostomy and fimbrioplasty were the commonest surgical gestures. At the end of the procedure, the best tube was staged as favorable in 57.6% of our patients. A complication rate of 4.3% was observed. Conclusion: Infertility is the main indication for laparoscopic surgery in our setting. The main operative findings are tubo-peritoneal adhesions and hydrosalpinx. The most practiced tubal surgical gesture is neosalpingostomy. Half of the recruited women have a favorable stage for the best tube. The complication rate is low.

Infertility; Laparoscopic Surgery; Tubal Surgery; Yaoundé; Cameroon

Mboudou, E. , Foumane, P. , Morfaw, F. , Minkande, J. , Dohbit, J. and Mbatsogo, B. (2013) Female infertility and laparoscopic surgery: A series of 415 operations at the Yaounde Gyneco-Obstetric and Pediatric Hospital, Cameroon. Open Journal of Obstetrics and Gynecology, 3, 663-667. doi: 10.4236/ojog.2013.39121.