Normal pregnancy after outpatient tubouterine implantation in patient with Adiana sterilization.
| Autor: | Monteith CW; Chapel Hill Tubal Reversal Center, 109 Conner Drive, Suite 2200, Chapel Hill, North Carolina 27514, USA. drmonteith@tubal-reversal.net, Berger GS |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Fertility and sterility [Fertil Steril] 2011 Jul; Vol. 96 (1), pp. e45-6. Date of Electronic Publication: 2011 May 20. |
| DOI: | 10.1016/j.fertnstert.2011.04.082 |
| Abstrakt: | Objective: To demonstrate the feasibility of outpatient correction of Adiana proximal tubal occlusion by surgical implantation of the fallopian tubes. Design: Case study. Setting: Outpatient surgical center. Patient(s): A 36-year-old woman with a history of bilateral proximal tubal occlusion secondary to Adiana sterilization who desired surgical correction and natural conception. Intervention(s): Outpatient surgical correction of proximal Adiana tubal occlusion by use of a minilaparotomy to perform bilateral tubouterine implantation. Main Outcome Measure(s): Natural conception of pregnancy. Result(s): The patient underwent a successful outpatient bilateral tubouterine implantation to correct Adiana sterilization. The procedure was performed through a minilaparotomy abdominal incision by use of a posterior transfundal uterine incision to implant the isthmic sections of each tube into the uterine cavity. The patient's postoperative course was uncomplicated. Natural conceptions occurred at 6 and 9 months after surgery. The first pregnancy was of unknown location and aborted spontaneously. The second pregnancy was uncomplicated and was delivered at 39 weeks' gestation by elective cesarean delivery. Conclusion(s): Adiana hysteroscopic tubal occlusion can be surgically corrected in an outpatient setting through tubouterine implantation and this surgical technique can provide patients with an alternative to in vitro fertilization. (Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|