Laparoscopic surgery in the preparation of patients for assisted reproductive technology
- Авторы: Popov A.A.1, Gorski S.L.1, Krosnopolskaya K.V.1, Manannikova T.N.1, Shaginian G.G.1, Machanskite O.V.1
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Учреждения:
- Moscow Regional Institute of Obstetrics and Gynecology
- Выпуск: Том 48, № 5S (1999)
- Страницы: 126-126
- Раздел: Статьи
- Статья получена: 21.02.2022
- Статья одобрена: 21.02.2022
- Статья опубликована: 15.12.1999
- URL: https://journals.eco-vector.com/jowd/article/view/101345
- DOI: https://doi.org/10.17816/JOWD101345
- ID: 101345
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Аннотация
Objective and methods: Laparoscopy and hysteroscopy were carried out in 37 patients following unsuccessful attempts at IVF since 1995. The following abnormalities were diagnosed: bilateral sapingitis - 18 cases, external genital endometriosis - 15, endometrial pathology - 10, uterine myoma - 5 and combined pathology - 24.
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Objective and methods: Laparoscopy and hysteroscopy were carried out in 37 patients following unsuccessful attempts at IVF since 1995. The following abnormalities were diagnosed: bilateral sapingitis - 18 cases, external genital endometriosis - 15, endometrial pathology - 10, uterine myoma - 5 and combined pathology - 24.
Results: Bilateral salpingoectomy is recommended in patients having large size hydrosalpingitis with inflammatory reaction. This helps in reducing the incidence of unsuccessful cases of ART as well as protects patients from developing a frequent complication of ART - tubal pregnancy. Salpingostomy together with surgical sterilization is the best method of preparing patients for ART in the older reproductive age group with a long history of pelvic inflammatory disease in the presence of salpingitis.
Conclusions: Even in the abscence of intrauterine pathology by HSG and echography it is recommended to do hysteroscopy with fractional D&C before carrying out IVF; in more than 1/3 of these cases endometrial pathology is diagnosed.
Об авторах
A. A. Popov
Moscow Regional Institute of Obstetrics and Gynecology
Автор, ответственный за переписку.
Email: info@eco-vector.com
Россия, Moscow
S. L. Gorski
Moscow Regional Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
Россия, Moscow
K. V. Krosnopolskaya
Moscow Regional Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
Россия, Moscow
T. N. Manannikova
Moscow Regional Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
Россия, Moscow
G. G. Shaginian
Moscow Regional Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
Россия, Moscow
O. V. Machanskite
Moscow Regional Institute of Obstetrics and Gynecology
Email: info@eco-vector.com
Россия, Moscow
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