Document Detail


Neosalpingostomy for distal tubal obstruction: prognostic factors and impact of surgical technique.
MedLine Citation:
PMID:  2245857     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We reviewed the clinical records of all women who underwent microsurgical terminal neosalpingostomy for distal tubal obstruction between January 1983 and June 1988. We identified 95 women whose preoperative evaluation revealed no other contributory factors for infertility and analyzed their pregnancy outcome after this procedure. Pregnancy success was inversely related to the extent of tubal distortion (dilation, rugal integrity, and status of the fimbria) and degree of adnexal adhesions. Using our classification system for distal tubal obstruction, patients with mild disease had an 80% pregnancy rate, whereas patients with moderate and severe disease had a 31% and 16% success rate, respectively. We found no statistically significant difference in pregnancy outcome when we compared this series with our previous group, reported in 1978, where contemporary microsurgical technique was not used. Although we feel that optimal surgical technique is important to maximize success, we conclude that the most important prognostic factor in pregnancy outcome after neosalpingostomy for distal tubal disease is the anatomical and functional integrity of the tube.
Authors:
W D Schlaff; D K Hassiakos; M D Damewood; J A Rock
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  54     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  1990 Dec 
Date Detail:
Created Date:  1991-01-09     Completed Date:  1991-01-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  984-90     Citation Subset:  IM    
Affiliation:
Department of Gynecology and Obstetrics, Johns Hopkins Medical School, Baltimore, Maryland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Fallopian Tube Diseases / physiopathology,  surgery*
Fallopian Tubes / surgery*
Female
Humans
Life Tables
Microsurgery
Ovarian Diseases / physiopathology
Pregnancy
Pregnancy Outcome
Prognosis
Salpingostomy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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