| Reconstructive, organ-preserving microsurgery in tubal infertility: still an alternative to in vitro fertilization. | |
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MedLine Citation:
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PMID: 19782355 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In this retrospective study, we observed a total of 553 patients with tubal infertility who underwent microsurgical reconstructive surgery of the fallopian tubes (including adhesiolysis, anastomosis, fimbrioplasty, salpingostomy, and refertilization after former sterilization). The pregnancy (43.4%) and birth (29.2%) rates after microsurgery for acquired tubal damages (abortion: 6.4%; ectopic pregnancy: 7.9%) were higher than after single in vitro fertilization (28.4% and <20%, respectively; data from German IVF register). The pregnancy (73%) and birth (50.6%) rates after the reversal of sterilization also were higher (abortion: 15.7%; ectopic pregnancy: 6.7%). The advantages of reconstructive microsurgery over in vitro fertilization include the ideally permanent restoration of a woman's ability to conceive naturally in every cycle that she ovulates, a high postoperative birth rate overall, and avoidance of multiple births. |
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Authors:
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Cordula Schippert; Christina Bassler; Philipp Soergel; Ursula Hille; Bettina Hollwitz; Guillermo-Jose Garcia-Rocha |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-09-26 |
Journal Detail:
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Title: Fertility and sterility Volume: 93 ISSN: 1556-5653 ISO Abbreviation: Fertil. Steril. Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-03-01 Completed Date: 2010-04-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
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Languages: eng Pagination: 1359-61 Citation Subset: IM |
Copyright Information:
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Copyright 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, Division of Reproductive Medicine, OE 6410, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. schippert.cordula@mh-hannover.de |
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| MeSH Terms | |
Descriptor/Qualifier:
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Fallopian Tubes
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surgery Female Fertilization in Vitro Humans Infertility, Female Pregnancy Reconstructive Surgical Procedures* / methods |
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