TY - JOUR
TI - Laparoscopic treatment of hydrosalpinx: Factors affecting pregnancy rate
AU - Milingos, SD
AU - Kallipolitis, GK
AU - Loutradis, DC
AU - Liapi, AG and
AU - Hassan, EA
AU - Mavrommatis, CG
AU - Miaris, SG
AU - Michalas, SP
JO - The Journal of the American Association of Gynecologic Laparoscopists
PY - 2000
VL - 7
TODO - 3
SP - 355-361
PB - JOURNAL AMER ASSOC GYNECOLOGIC LAPAROSCOPISTS
SN - 1074-3804
TODO - 10.1016/S1074-3804(05)60479-3
TODO - null
TODO - Study Objective, To evaluate the efficacy of laparoscopic surgery in a
series of women with hydrosalpinx.
Design. Prospective, observational study (Canadian Task Force
classification IL-2).
Setting. University-affiliated hospital.
Patients. Sixty-one women undergoing bilateral neosalpingostomy and
restoration of tubal ovarian anatomy laparoscopically, and followed for
24 months.
Intervention. Video-controlled operative laparoscopy using standard
four-puncture technique.
Measurements and Main Results. During 24-month follow-up, cumulative
intrauterine pregnancy rates at 6-month intervals were 6.8%, 13.6%,
20.5%, and 20.5% for patients with only distal tubal obstruction and
12%, 23%, 29%, and 29% For those with mild degree of tubal disease
and periadnexal adhesions. Miscarriage rate for intrauterine pregnancies
was zero in both groups.
Conclusion. Operative laparoscopy seems to be an effective treatment for
hydrosalpinx in terms of pregnancy outcome.
ER -