Role of Reconstructive Microsurgery in Tubal Infertility in Young Women

Autor:	Mihai Ionac, Lucian P. Jiga, Ioan Sas, Sorin Barac, Roxana Ramona Onofrei, Andreea Luciana Rata
Rok vydání:	2020
Předmět:	Infertility 050101 languages & linguistics medicine.medical_specialty animal structures medicine.medical_treatment Tubal reversal lcsh:Medicine Context (language use) Anastomosis Article 03 medical and health sciences 0302 clinical medicine medicine 0501 psychology and cognitive sciences reproductive and urinary physiology Pregnancy 030219 obstetrics & reproductive medicine Ectopic pregnancy urogenital system Obstetrics business.industry lcsh:R 05 social sciences tubal reversal microsurgery General Medicine medicine.disease female genital diseases and pregnancy complications Pregnancy rate Replantation pregnancy infertility business
Zdroj:	Journal of Clinical Medicine Volume 9 Issue 5 Journal of Clinical Medicine, Vol 9, Iss 1300, p 1300 (2020)
ISSN:	2077-0383
DOI:	10.3390/jcm9051300
Popis:	Aim: Here, we retrospectively analyzed the success rate of reconstructive microsurgery for tubal infertility (RMTI) as a &ldquo first-line&rdquo approach to achieving tubal reversal and pregnancy after tubal infertility. Patients and Methods: During 9 consecutive years (2005&ndash 2014), 96 patients diagnosed with obstructive tubal infertility underwent RMTI (tubal reversal, salpingostomy, and/or tubal implantation) in our centre. The outcomes are presented in terms of tubal reversal rate and pregnancy and correlated with age, level of tubal obstruction, and duration of tubal infertility. Results: The overall tubal reversal rate was 87.56% (84 patients). The 48-month cumulative pregnancy rate was 78.04% (64 patients), of which seven ectopic pregnancies occurred (8.53%). The reversibility rate for women under 35 yo was 90.47%, with a birth rate of 73.01%. The reconstruction at the infundibular segments favored higher ectopic pregnancy rates (four ectopic pregnancies for anastomosis at infundibular level&mdash 57.14%, two for ampullary level&mdash 28.57%, and one for replantation technique&mdash 14.28%), with a significant value for p < 0.05. Conclusions: In the context of IVF &ldquo industrialization&rdquo reconstructive microsurgery for tubal infertility has become increasingly less favored. However, under available expertise and proper indication, RMTI can be successfully used to restore a woman&rsquo s ability to conceive naturally with a high postoperative pregnancy rate overall, especially in women under 35 yo.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2a9841a3716a7cfbe082823ec920c703 https://doi.org/10.3390/jcm9051300 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.