Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo)

Potokoue Mpia Sekangue Samantha Nuelly; Buambo Gauthier Regis Jostin; Eouani Levy Max Emery; Bidzi Mbiene Pacome; Mokoko Jules Cesar; Itoua Clautaire; Iloki Leon Herve

doi:doi:10.11648/j.jgo.20221002.19

Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo)

Potokoue Mpia Sekangue Samantha Nuelly, Buambo Gauthier Regis Jostin, Eouani Levy Max Emery, Bidzi Mbiene Pacome, Mokoko Jules Cesar, Itoua Clautaire, Iloki Leon Herve

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 2)

Received: 13 March 2022 Accepted: 30 March 2022 Published: 9 April 2022

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Abstract

Objective: Analyze the determinants of the indication for laparoscopy in case of tubal obstruction on hysterosalpingography at the University Hospital Center of Brazzaville. Methods: Cross-sectional analytical study, conducted from January 1, 2015 to December 31, 2019, in the Obstetrics Gynecology Department of the University Hospital Center of Brazzaville, comparing 108 infertile patients with tubal obstruction to hysterosalpingography confirmed by methylene blue test (MBT-) in laparoscopy and 78 infertile patients with positive methylene blue test (MBT+) invalidating tubal obstruction in laparoscopy. Epi Info 7 software was used for statistical analysis. The p-value was considered significant for a p value < 5%. Results: Tubal obstruction was confirmed (MBT-) in 108 patients among the 186 selected for the study, i.e. 58.1%, and reversed (MBT+) in 78 patients, i.e. 41.9%. Tubal obstruction on laparoscopy was most observed in patients over 30 years old (84.3% vs 70.5%; OR=2.2 [1.1-4.6]; p<0.05), history of abortive endo-uterine maneuver (ORa=26 [17.9-38.9]; p<0.05), ectopic pregnancy (ORa=3.2 [1.4-52.1]; p<0.05), pelvic surgeries such as myomectomy (ORa=4.1 [1.2-18.4]; p<0.05), appendectomy (ORa=28.5 [1.5-54.7]; p<0.05) and salpingectomy (ORa=4.8 [2.3-12.5]; p<0.05) and suffering from chronic pelvic pain (ORa =4.1 [1.1-15.7]; p<0.03). The distal location of the tubal obstruction on HSG (ORa=2.8 [1.5-14.3]; p<0.05) and seropositivity for chlamydia trachomatis (ORa=41.2 [7.2 -234.8]; p<0.05) were most associated with negative MBT. Conclusion: The decision to perform a laparoscopy for tubal obstruction revealed by hysterosalpingography should take into account the determinants thus identified, especially when it comes to proximal tubal obstruction.

Published in	Journal of Gynecology and Obstetrics (Volume 10, Issue 2)
DOI	10.11648/j.jgo.20221002.19
Page(s)	120-125
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Tubal Obstruction, Hysterosalpingography, Laparoscopy, Determinants, Brazzaville

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APA Style

Potokoue Mpia Sekangue Samantha Nuelly, Buambo Gauthier Regis Jostin, Eouani Levy Max Emery, Bidzi Mbiene Pacome, Mokoko Jules Cesar, et al. (2022). Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo). Journal of Gynecology and Obstetrics, 10(2), 120-125. https://doi.org/10.11648/j.jgo.20221002.19

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ACS Style

Potokoue Mpia Sekangue Samantha Nuelly; Buambo Gauthier Regis Jostin; Eouani Levy Max Emery; Bidzi Mbiene Pacome; Mokoko Jules Cesar, et al. Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo). J. Gynecol. Obstet. 2022, 10(2), 120-125. doi: 10.11648/j.jgo.20221002.19

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AMA Style

Potokoue Mpia Sekangue Samantha Nuelly, Buambo Gauthier Regis Jostin, Eouani Levy Max Emery, Bidzi Mbiene Pacome, Mokoko Jules Cesar, et al. Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo). J Gynecol Obstet. 2022;10(2):120-125. doi: 10.11648/j.jgo.20221002.19

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@article{10.11648/j.jgo.20221002.19,
  author = {Potokoue Mpia Sekangue Samantha Nuelly and Buambo Gauthier Regis Jostin and Eouani Levy Max Emery and Bidzi Mbiene Pacome and Mokoko Jules Cesar and Itoua Clautaire and Iloki Leon Herve},
  title = {Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo)},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {2},
  pages = {120-125},
  doi = {10.11648/j.jgo.20221002.19},
  url = {https://doi.org/10.11648/j.jgo.20221002.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221002.19},
  abstract = {Objective: Analyze the determinants of the indication for laparoscopy in case of tubal obstruction on hysterosalpingography at the University Hospital Center of Brazzaville. Methods: Cross-sectional analytical study, conducted from January 1, 2015 to December 31, 2019, in the Obstetrics Gynecology Department of the University Hospital Center of Brazzaville, comparing 108 infertile patients with tubal obstruction to hysterosalpingography confirmed by methylene blue test (MBT-) in laparoscopy and 78 infertile patients with positive methylene blue test (MBT+) invalidating tubal obstruction in laparoscopy. Epi Info 7 software was used for statistical analysis. The p-value was considered significant for a p value Results: Tubal obstruction was confirmed (MBT-) in 108 patients among the 186 selected for the study, i.e. 58.1%, and reversed (MBT+) in 78 patients, i.e. 41.9%. Tubal obstruction on laparoscopy was most observed in patients over 30 years old (84.3% vs 70.5%; OR=2.2 [1.1-4.6]; pConclusion: The decision to perform a laparoscopy for tubal obstruction revealed by hysterosalpingography should take into account the determinants thus identified, especially when it comes to proximal tubal obstruction.},
 year = {2022}
}

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TY  - JOUR
T1  - Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo)
AU  - Potokoue Mpia Sekangue Samantha Nuelly
AU  - Buambo Gauthier Regis Jostin
AU  - Eouani Levy Max Emery
AU  - Bidzi Mbiene Pacome
AU  - Mokoko Jules Cesar
AU  - Itoua Clautaire
AU  - Iloki Leon Herve
Y1  - 2022/04/09
PY  - 2022
N1  - https://doi.org/10.11648/j.jgo.20221002.19
DO  - 10.11648/j.jgo.20221002.19
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 120
EP  - 125
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20221002.19
AB  - Objective: Analyze the determinants of the indication for laparoscopy in case of tubal obstruction on hysterosalpingography at the University Hospital Center of Brazzaville. Methods: Cross-sectional analytical study, conducted from January 1, 2015 to December 31, 2019, in the Obstetrics Gynecology Department of the University Hospital Center of Brazzaville, comparing 108 infertile patients with tubal obstruction to hysterosalpingography confirmed by methylene blue test (MBT-) in laparoscopy and 78 infertile patients with positive methylene blue test (MBT+) invalidating tubal obstruction in laparoscopy. Epi Info 7 software was used for statistical analysis. The p-value was considered significant for a p value Results: Tubal obstruction was confirmed (MBT-) in 108 patients among the 186 selected for the study, i.e. 58.1%, and reversed (MBT+) in 78 patients, i.e. 41.9%. Tubal obstruction on laparoscopy was most observed in patients over 30 years old (84.3% vs 70.5%; OR=2.2 [1.1-4.6]; pConclusion: The decision to perform a laparoscopy for tubal obstruction revealed by hysterosalpingography should take into account the determinants thus identified, especially when it comes to proximal tubal obstruction.
VL  - 10
IS  - 2
ER  -

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Author Information

Potokoue Mpia Sekangue Samantha Nuelly

Obstetrics Gynecology Department, University Hospital Center of Brazzaville, Brazzaville, Congo
Buambo Gauthier Regis Jostin

Obstetrics Gynecology Department, University Hospital Center of Brazzaville, Brazzaville, Congo
Eouani Levy Max Emery

Obstetrics Gynecology Department, Loandjili General Hospital, Pointe Noire, Congo
Bidzi Mbiene Pacome

Obstetrics Gynecology Department, University Hospital Center of Brazzaville, Brazzaville, Congo
Mokoko Jules Cesar

Obstetrics Gynecology Department, University Hospital Center of Brazzaville, Brazzaville, Congo
Itoua Clautaire

Obstetrics Gynecology Department, University Hospital Center of Brazzaville, Brazzaville, Congo
Iloki Leon Herve

Obstetrics Gynecology Department, University Hospital Center of Brazzaville, Brazzaville, Congo

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APA Style

Potokoue Mpia Sekangue Samantha Nuelly, Buambo Gauthier Regis Jostin, Eouani Levy Max Emery, Bidzi Mbiene Pacome, Mokoko Jules Cesar, et al. (2022). Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo). Journal of Gynecology and Obstetrics, 10(2), 120-125. https://doi.org/10.11648/j.jgo.20221002.19

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ACS Style

Potokoue Mpia Sekangue Samantha Nuelly; Buambo Gauthier Regis Jostin; Eouani Levy Max Emery; Bidzi Mbiene Pacome; Mokoko Jules Cesar, et al. Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo). J. Gynecol. Obstet. 2022, 10(2), 120-125. doi: 10.11648/j.jgo.20221002.19

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AMA Style

Potokoue Mpia Sekangue Samantha Nuelly, Buambo Gauthier Regis Jostin, Eouani Levy Max Emery, Bidzi Mbiene Pacome, Mokoko Jules Cesar, et al. Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo). J Gynecol Obstet. 2022;10(2):120-125. doi: 10.11648/j.jgo.20221002.19

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@article{10.11648/j.jgo.20221002.19,
  author = {Potokoue Mpia Sekangue Samantha Nuelly and Buambo Gauthier Regis Jostin and Eouani Levy Max Emery and Bidzi Mbiene Pacome and Mokoko Jules Cesar and Itoua Clautaire and Iloki Leon Herve},
  title = {Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo)},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {2},
  pages = {120-125},
  doi = {10.11648/j.jgo.20221002.19},
  url = {https://doi.org/10.11648/j.jgo.20221002.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221002.19},
  abstract = {Objective: Analyze the determinants of the indication for laparoscopy in case of tubal obstruction on hysterosalpingography at the University Hospital Center of Brazzaville. Methods: Cross-sectional analytical study, conducted from January 1, 2015 to December 31, 2019, in the Obstetrics Gynecology Department of the University Hospital Center of Brazzaville, comparing 108 infertile patients with tubal obstruction to hysterosalpingography confirmed by methylene blue test (MBT-) in laparoscopy and 78 infertile patients with positive methylene blue test (MBT+) invalidating tubal obstruction in laparoscopy. Epi Info 7 software was used for statistical analysis. The p-value was considered significant for a p value Results: Tubal obstruction was confirmed (MBT-) in 108 patients among the 186 selected for the study, i.e. 58.1%, and reversed (MBT+) in 78 patients, i.e. 41.9%. Tubal obstruction on laparoscopy was most observed in patients over 30 years old (84.3% vs 70.5%; OR=2.2 [1.1-4.6]; pConclusion: The decision to perform a laparoscopy for tubal obstruction revealed by hysterosalpingography should take into account the determinants thus identified, especially when it comes to proximal tubal obstruction.},
 year = {2022}
}

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TY  - JOUR
T1  - Indication of Laparoscopy in Case of Tubal Infertility at the University Hospital of Brazzaville (Republic of Congo)
AU  - Potokoue Mpia Sekangue Samantha Nuelly
AU  - Buambo Gauthier Regis Jostin
AU  - Eouani Levy Max Emery
AU  - Bidzi Mbiene Pacome
AU  - Mokoko Jules Cesar
AU  - Itoua Clautaire
AU  - Iloki Leon Herve
Y1  - 2022/04/09
PY  - 2022
N1  - https://doi.org/10.11648/j.jgo.20221002.19
DO  - 10.11648/j.jgo.20221002.19
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 120
EP  - 125
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20221002.19
AB  - Objective: Analyze the determinants of the indication for laparoscopy in case of tubal obstruction on hysterosalpingography at the University Hospital Center of Brazzaville. Methods: Cross-sectional analytical study, conducted from January 1, 2015 to December 31, 2019, in the Obstetrics Gynecology Department of the University Hospital Center of Brazzaville, comparing 108 infertile patients with tubal obstruction to hysterosalpingography confirmed by methylene blue test (MBT-) in laparoscopy and 78 infertile patients with positive methylene blue test (MBT+) invalidating tubal obstruction in laparoscopy. Epi Info 7 software was used for statistical analysis. The p-value was considered significant for a p value Results: Tubal obstruction was confirmed (MBT-) in 108 patients among the 186 selected for the study, i.e. 58.1%, and reversed (MBT+) in 78 patients, i.e. 41.9%. Tubal obstruction on laparoscopy was most observed in patients over 30 years old (84.3% vs 70.5%; OR=2.2 [1.1-4.6]; pConclusion: The decision to perform a laparoscopy for tubal obstruction revealed by hysterosalpingography should take into account the determinants thus identified, especially when it comes to proximal tubal obstruction.
VL  - 10
IS  - 2
ER  -

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