Correlation between the American Fertility Society  classifications of adnexal adhesions and distal tubal occlusion, salpingoscopy, and reproductive outcome in tubal surgery

Marana, Riccardo; Rizzi, Mario; Muzii, Ludovico; Catalano, Giovan Fiore; Caruana, Paul; Mancuso, Stefano

doi:10.1016/s0015-0282(16)57903-5

Cited by 99 publications

(31 citation statements)

References 14 publications

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“…Pelvic adhesions did not impact the probability of recurrence in our study. These findings are consistent with several previous studies [14][15][16][17] but contrast with those of others [11,12,13,18]. Whereas the type of surgical procedure was not associated with recurrence of hydrosalpinx (laparoscopy versus laparotomy), presence of rugae on preoperative HSG significantly decreased the odds of recurrence.…”

Section: Discussionsupporting

confidence: 91%

Recurrence of hydrosalpinges after cuff neosalpingostomy in a poor prognosis population

Bayrak

Harp

Saadat

et al. 2006

J Assist Reprod Genet

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Purpose: The purpose of this study was to determine the recurrence rate of hydrosalpinges after cuff neosalpingostomy in poor prognosis candidates.Methods: Forty consecutive patients with hydrosalpinx treated with cuff neosalpingostomy were included. Main outcome measures were recurrence rate of hydrosalpinx after cuff neosalpingostomy, intrauterine and ectopic pregnancy rates.Results: Intraoperatively, the mean size of the hydrosalpinx was 1.9 ± 0.7 cm, and 77% of patients had evidence of pelvic adhesions. Recurrence of hydrosalpinx, whether unilateral or bilateral was 70% (28/40) per patient. Intrauterine and ectopic pregnancy rates were 5% (2/40) and 2.5% (1/40), with a total pregnancy rate of 7.5% (3/40).Conclusions: Most patients experience recurrence of hydrosalpinx after cuff neosalpingostomy, thus requiring additional surgery such as salpingectomy prior to in vitro fertilization (IVF). In a poor prognosis population, salpingectomy should be considered as the primary treatment for hydrosalpinx prior to IVF.

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Section: Discussionsupporting

confidence: 91%

Recurrence of hydrosalpinges after cuff neosalpingostomy in a poor prognosis population

Bayrak

Harp

Saadat

et al. 2006

J Assist Reprod Genet

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“…In such cases, the number and density of adhesions will have a direct impact on the second surgical procedure. In female patients, adhesions within the pelvis may result in infertility [10,11], ectopic gestation [12] and chronic pelvic pain [13,14]. …”

Section: Consequences Of Abdominal Adhesionsmentioning

confidence: 99%

Abdominal Adhesion Prevention: Still a Sticky Subject

et al. 2010

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Background: Adhesion formation remains an almost inevitable consequence of abdominal procedures, potentially resulting in significant morbidity and mortality. There is an ongoing need to evaluate current understanding of adhesion formation and products aimed at prevention. Failure to keep up to date with adhesion treatment may subject clinicians to a greater medico-legal risk. Design: Review of published studies exploring the problem of peritoneal adhesion formation. This encompasses the underlying processes of adhesion formation combined with general approaches to reduce formation. An overview of products trialled to prevent formation in both the animal model and clinical setting describes products of scientific interest and commercial success. Results: Advances in surgical technique, such as laparoscopic surgery, can help minimize the probability of adhesion formation. Currently barrier products, whilst reducing adhesion formation, have not been shown to reduce the risk of readmission with complications related to adhesions. Hybrid products may improve upon this situation. Conclusions: No single approach has been wholly satisfactory in reducing adhesions. Research into the processes driving adhesion formation is providing exciting new targets for therapeutic agents. It would seem plausible that with many promising avenues of research a revolutionary agent to reduce the incidence of adhesional small bowel obstruction may result.

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“…Estratificando-se os grupos de acordo com a gravidade da lesão, as taxas de gravidez foram de 66,7 e 21,7% para os casos com tuba leve e moderadamente acometida, respectivamente. Tais resultados corroboram a hipótese de que o grau de acometimento da tuba, em especial das fímbrias, relaciona-se diretamente à probabilidade de gestação intra-uterina 2,8,9 . As taxas cumulativas de gravidez verificadas após um e dois anos (25,0 e 34,4%, respectivamente) são semelhantes aos dados disponíveis na literatura internacional [10][11][12][13][14] .…”

Section: Discussionunclassified

Tratamento Cirúrgico Conservador da Hidrossalpinge: Laparoscopia ou Microcirurgia?

Ribeiro¹,

Silva²,

Izzo³

et al. 2001

Rev. Bras. Ginecol. Obstet.

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IntroduçãoA alteração funcional das tubas uterinas é uma das mais freqüentes causas de infertilidade, presente em aproximadamente 25% dos casais inférteis. Entre as principais causas de lesão tubária destacam-se a doença inflamatória pélvica, a endometriose, a gestação ectópica e as aderências pélvicas secundárias a intervenções cirúrgicas abdominais 1 . Nas últimas três décadas, técnicas microcirúrgicas têm sido utilizadas para o tratamento de tubas anatomicamente comprometidas,

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Correlation between the American Fertility Society classifications of adnexal adhesions and distal tubal occlusion, salpingoscopy, and reproductive outcome in tubal surgery

Cited by 99 publications

References 14 publications

Recurrence of hydrosalpinges after cuff neosalpingostomy in a poor prognosis population

Recurrence of hydrosalpinges after cuff neosalpingostomy in a poor prognosis population

Abdominal Adhesion Prevention: Still a Sticky Subject

Tratamento Cirúrgico Conservador da Hidrossalpinge: Laparoscopia ou Microcirurgia?

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