Proximal tubal obstruction-is there a best way to treat it?

Hepp, H.; Korell, M.; Strowitzki, Thomas

doi:10.1093/oxfordjournals.humrep.a019498

Cited by 5 publications

(2 citation statements)

References 24 publications

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“…Proposed advantages of this approach are a decreased risk of adhesions and less disruption of cornual blood supply, and hence a greater likelihood that tubal function is preserved. Post‐operative term pregnancy rates of up to 56% with ectopic pregnancy rates of less than 10% 15,31 have been reported. In a more recent study, 120 women with proximal occlusion of one or both tubes treated by microsurgery had a cumulative intrauterine pregnancy rate of 68% at 24 months 32 .…”

Section: Proximal Disease: Treatmentmentioning

confidence: 99%

REVIEW: Reconstruction, destruction and IVF: dilemmas in the art of tubal surgery

Sacks

Trew

2004

BJOG

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Section: Proximal Disease: Treatmentmentioning

confidence: 99%

REVIEW: Reconstruction, destruction and IVF: dilemmas in the art of tubal surgery

Sacks

Trew

2004

BJOG

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“…Während bei auffälligem Befund die Indikation zur weiteren invasiven Abklärung als gegeben anzusehen ist, sollte auch bei scheinbar unauffälligem Ergebnis beachtet werden, dass vorhandene Tubenpathologien in Anbetracht berichteter Sensitivitätswerte von 65-69% [24,43] tatsächlich nur mit geringer Verlässlichkeit sicher ausgeschlossen werden können.…”

Section: Asherman-syndromunclassified

Invasive Diagnostik bei unerfülltem Kinderwunsch

Rimbach

2002

Gynäkologe

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Für die invasive Diagnostik bei unerfülltem Kinderwunsch steht ein ganzes Spektrum endoskopischer Verfahren zur Verfügung, das mittlerweile eine umfassende Visualisierung der beteiligten Genitalorgane erlaubt.Was die Pathologien des Uteruskavums anbelangt, ermöglicht die Hysteroskopie nicht nur eine differenzierte Diagnostik, sondern kann in vielen Fällen auch erfolgreich therapeutisch eingesetzt werden.Gleiches gilt für die Rolle der Laparoskopie in der Diagnostik und Therapie der Tubenpathologie. Hier kommt es im Hinblick auf die Indikationsstellung zu rekonstruktiv-chirurgischen Maßnahmen vs. In-vitro-Fertilisation auf eine differenzierte Bewertung unter zielgerichteter Einbeziehung prognostisch relevanter Information an.Dabei ergänzen sich die aus der Mikrochirurgie stammenden etablierten Kriterien und die zusätzlichen Informationen, die durch die modernen Verfahren der Endosalpinxdiagnostik erzielt werden.

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Combining B-mode ultrasound with pulsed wave Doppler for the assessment of tubal patency

et al. 1997

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This study was conducted to determine whether the additional use of pulsed wave Doppler improves the diagnostic capacity in assessing tubal patency by hysterosalpingo contrast sonography (HyCoSy). A total of 210 women with a history of infertility were included in this study. HyCoSy was performed after intrauterine injection of Echovist 200. For the assessment of tubal patency B-mode scanning and pulsed wave Doppler ultrasound were performed in the proximal and distal tubal segments. With the combined sonographic procedure 297 tubes (74%) were rated patent, 35 (8%) incompletely obstructed and 70 (18%) completely obstructed. A total of 252 tubes were additionally examined by laparoscopy for reference purposes. Concordant results for both methods were found in 92% of tubes, nine had been rated false negative and 10 tubes appeared to have been rated false positive. The combined sonographic specificity was found to be 85% with a sensitivity of 95%. Peritubal adhesions detected by laparoscopy were found to be the reason for false positive sonographic results in 60% of cases. In conclusion, the combined B-mode and pulsed wave Doppler examination appears to be a non-invasive and low-cost test for the assessment of tubal patency, which should be performed during diagnostic work-up for infertility.

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Proximal tubal obstruction-is there a best way to treat it?

Cited by 5 publications

References 24 publications

REVIEW: Reconstruction, destruction and IVF: dilemmas in the art of tubal surgery

REVIEW: Reconstruction, destruction and IVF: dilemmas in the art of tubal surgery

Invasive Diagnostik bei unerfülltem Kinderwunsch

Combining B-mode ultrasound with pulsed wave Doppler for the assessment of tubal patency

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