Standard transabdominal laparoscopy (TAL) is considered the “gold standard” study of women with infertility. Because of the need for endotracheal anesthesia and intraoperative complications TAL is often used after a long period of unsuccessful attempts at treatment. Transvaginal hydrolaparoscopy (TVHL) is based on vaginal access. Using a fine needle puncture technique, it can be performed on an outpatient basis under local anesthesia. Nevertheless, there were no data relating to the results of the matching TVHL data and TAL diagnosis. It was conducted a prospective comparative study of the feasibility, safety and diagnostic accuracy of TVHL compared to diagnostic TAL in 56 women with infertility. Research proves that transvaginal hydrolaparoscopy is highly informative, feasible and safe minimally invasive technique survey of subfertile patients in comparison with a classic transabdominal endoscopic intervention.
