| Assessment of infertility surgery by a pelvic scoring system. | |
| | |
MedLine Citation:
|
PMID: 2565307 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A pelvic scoring and staging system previously reported was used to evaluate 77 major microsurgical procedures during a 3-year period. Pregnancy rates by clinical assessment groups were (a) surgery indicated for tubo-ovarian adhesions (SGY:F) = 50%; (b) surgery indicated with other pelvic pathology, such as adnexal masses or myoma (SGY:F/etc) = 23%; and (c) surgery questionably indicated (SGY:?) = 18%. Using the scoring system, pregnancy rates by stage were 75%, 41%, and 14% for Stages I, II, and III, respectively. The pregnancy rate was higher in the pure tubal factor group as compared with those with additional infertility factors. Pelvic scores and stages correlated well with clinical expectations. Life-table analysis of cumulative pregnancy rates showed that all subsequent pregnancies occurred within the 24 months following surgery. A significant correlation noted between pelvic scores and cumulative pregnancy rates illustrates the system's usefulness in predicting reproductive potential postoperatively. This method can be used to assist the surgeon in establishing a couple's prognosis and to compare results between surgeons or different surgical techniques. |
| | |
Authors:
|
C H Wu; S S Minassian |
Related Documents
:
|
9308817 - Recurrent heterotopic pregnancy after repeated in-vitro fertilization treatment. 2757577 - Activity of peritoneal macrophages in endometriosis. 12738517 - Microsurgical resection of nonocclusive salpingitis isthmica nodosa is beneficial. 15951667 - Has human fertility declined over time?: why we may never know. 1872337 - The fetal-pelvic index: a method of identifying fetal-pelvic disproportion in women att... 18655227 - Prediction of superimposed preeclampsia using uterine artery doppler velocimetry in wom... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: International journal of fertility Volume: 34 ISSN: 0020-725X ISO Abbreviation: Int. J. Fertil. Publication Date: 1989 Jan-Feb |
Date Detail:
|
Created Date: 1989-06-08 Completed Date: 1989-06-08 Revised Date: 2008-11-21 |
Medline Journal Info:
|
Nlm Unique ID: 0374717 Medline TA: Int J Fertil Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 56-61 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adnexal Diseases
/
complications,
pathology* Fallopian Tubes / surgery* Female Humans Infertility, Female / etiology, surgery* Laparotomy Microsurgery Pregnancy Retrospective Studies Tissue Adhesions |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Clinicopathologic diagnosis of mycoplasma endometritis.
Next Document: Evaluation of the preovulatory rise of follicle stimulating hormone and progesterone in normally ovu...