Adhesions: Laparoscopic Surgery versus Laparotomy
| Autor: | Spyros Milingos, Stylianos Michalas, Anthoula Liapi, K. Mavrommatis, Georgios Creatsas, George Kallipolitis, J. Tourikis, Dimitris Loutradis, Petros Drakakis |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Laparoscopic surgery Infertility Microsurgery medicine.medical_specialty medicine.medical_treatment Tissue Adhesions Peritoneal Diseases General Biochemistry Genetics and Molecular Biology Postoperative Complications History and Philosophy of Science Pregnancy Recurrence Laparotomy Humans Medicine Laparoscopy medicine.diagnostic_test business.industry General Neuroscience General surgery medicine.disease Surgery Female Operative laparoscopy business Infertility Female |
| Zdroj: | Annals of the New York Academy of Sciences. 900:272-285 |
| ISSN: | 1749-6632 0077-8923 |
| DOI: | 10.1111/j.1749-6632.2000.tb06239.x |
| Popis: | This study was undertaken to assess the effectiveness in pregnancy rates of microsurgery and operative laparoscopy in adhesiolysis. Adhesions were found to be the sole infertility factor in 15% of our patients. One hundred and ninety infertile patients with periadnexal adhesions as the only cause of their infertility were treated by microsurgery (86) or operative laparoscopy (104) and were followed up for 24 months. Our results indicate that advanced laparoscopic surgery in general is as effective as microsurgery in healthy infertile patients with adhesions but offers some advantages in comparison to laparotomy. Factors that adversely affect the postoperative success rates are the age of the women, the duration of infertility, and the severity of the adhesions. |
| Databáze: | OpenAIRE |
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