Clinical results of terminal salpingostomy with the use of the CO2laser: report of the intraabdominal laser study group

Autor: Daniell, James F., Diamond, Michael P., McLaughlin, David S., Martin, Dan C., Feste, Joseph, Surrey, Mark W., Friedman, Stanley, Vaughn, William K.
Zdroj: Fertility and Sterility; February 1986, Vol. 45 Issue: 2 p175-178, 4p
Abstrakt: Forty-eight women underwent terminal salpingostomies with a standard operative procedure with the use of the CO2laser and microsurgical techniques at five centers. Early second-look laparoscopy was performed in all patients 1 to 12weeks after the laparotomy. The tubal patency rate at the second look was 92% for these 48 patients, with a minimum of 6months’ follow-up study in all patients. Of these patients, ten became pregnant (21%), one with an ectopic pregnancy (10%). All pregnancies occurred within 12months of the second-look procedure. It is preliminarily concluded from this series that use of the CO2laser for neosalpingostomy at laparotomy with early second-look laparoscopy provides a term pregnancy rate similar to that previously achieved by nonlaser microsurgical techniques and shortens the time period between the surgical procedure and when conception would be expected to occur.
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