laparoscopic tubal adhesiolysis versus icsi in cases of post-cesarean adhesions: which is the best?

Background & objective: secondary infertility resulting from tubal adhesions following cesarean section are not uncommon. the decision to do adhesiolysis or direct ivf/icsi is to some extent difficult. this study was conducted to evaluate the benefits/risks of either adhesiolysis or direct ivf/icsi for patients with secondary infertility due to post-cesarean tubal adhesions. materials & methods: three hundred infertile women with post-cesarean adhesion were recruited and divided into 2 groups either laparoscopic adhesiolysis or icsi procedure. results: demographic data of enrolled patients in both groups were comparable. regarding types of adhesions, mild adhesions were found in (47.65%) cases, moderate adhesions in (24.83%) cases and severe adhesions in (27.52%) cases. pregnancy rates were found to be higher in cases with mild adhesions (62.67%) when compared to cases with moderate or severe adhesions (28.00%) and (9.33%) respectively. the overall pregnancy rate in group 1 was 67 (44.97%), while it was 83 (55.70%) in group 2. the pregnancy rate was higher in group 2 but didn't reach statistical significance. the cost of the procedure was significantly higher in group 2 but with significantly lower complication rates. conclusion: although assisted reproduction gives the patient higher pregnancy rates with less possibility of complications, it should not be considered the first-choice treatment for patients with post-cesarean adhesions, especially in mild and moderate cases.