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At least 901 records · Page 50Linked to original sources
PubMed1978

Salpingostomy by microsurgery.

Salpingostomy for hydrosalpinx was carried out using a microsurgical technique. The postoperative patency rate was over 90%. Among the 41 patients followed for more than 1 year, 29% have had one or more intrauterine pregnancies and 27% have had live births. The ectopic gestation rate was 12%. All of the tubal gestations occurred in the 1st postoperative year whereas 60% of the intrauterine pregnancies occurred after the 1st year, suggesting a degree of restoration in the mucosa and the musculature of the oviduct with the re-establishment of patency and the passage of time.

Electrosurgery↗
PubMed1979

The choice of sterilizing procedure according to its potential reversibility with microsurgery.

Twenty-seven women were evaluated for reversal of previous tubal sterilization in the 2-year span beginning January 1, 1976. Of the thirteen who came to surgery, only seven were able to undergo reanastomosis. Five of these seven had had Pomeroy type ligations and two had ahd "one-burn" electrocoagulation. Six patients who had had "two- or three burn" electrocoagulation did not have sufficient length of fallopian tube remaining. Tubal patency was achieved in 87.5% of those who underwent reanastomosis. The pregnancy rate was 37.5%, with no ectopic pregnancies. Electrocoagulation is not recommended in healthy young women.

Adult↗
PubMed1981

Fertility following fimbriectomy and tubo-ovarian microsurgery in the rabbit.

It is generally believed that tubal fimbriae function as a highly specialized and indispensable component of the ovum pickup mechanism. The present study was undertaken to examine the feasibility of creating a functional tubo-ovarian relationship following fimbriectomy. Fourteen New Zealand White rabbits underwent unilateral microsurgical fimbriectomy followed by creation of a distal ampullary flap which was oversewn to the exposed ovarian cortex. Two weeks after surgery, the animals were inseminated and induced to ovulate with an intravenous injection of 100 IU of human chorionic gonadotropin. Thirteen of fourteen uterine horns on the control side and ten of fourteen on the operated side became pregnant. The ratios of ova ovulated to those which implanted were 73.2% on the control side and 37.8% on the operated side. Morphologic studies revealed a normal complement of ciliated and secretory cells lining the endosalpinx of the juxtaposed ampullary flap. The portion of ovarian cortex covered by the flap similarly exhibited no morphologic abnormalities. These findings indicate that fertility can be maintained in the absence of fimbriae and suggest a surgical technique for restoration of fertility following elective sterilization by fimbriectomy or following pathologically induced destruction of the fimbriae.

Animals↗
PubMed1982

Infertility surgery of the oviduct: comparison between macrosurgery and microsurgery.

The purpose of this study is to compare the results of macrosurgical and microsurgical tuboplasty procedures performed on infertility patients after other causes of their infertility were ruled out. During a 6-year period from July 1971 through June 1977, 128 macrosurgical tuboplasties were performed, and from July 1977 through July 1979, 73 cases of microsurgical procedures were performed. The senior author was the actual or first assistant surgeon in every case. For comparison, the procedures performed were divided into seven categories: salpingolysis, fimbrioplasty, salpingoneostomy, midsegment anastomosis, tubouterine anastomosis, tubouterine implantation, and combined procedures. The results of both groups were analyzed and compared. Use of the microscope improved results in all categories, particularly in anastomosis procedures. It is concluded that the microscopic techniques have a definite advantage and are recommended for use in all tuboplasty procedures.

Adult↗
PubMed1984

Microsurgery of endometriosis in infertile patients.

From January 1973 to December 1980, 176 infertile women with endometriosis were treated with atraumatic and microsurgical techniques. None of these patients received preoperative or postoperative antigonadotropin therapy. The degree of endometriosis in these patients was classified according to the scaling point system of The American Fertility Society. After 2 years the cumulative pregnancy rate of the severe group (40%) was not different from that of the mild (43%) or moderate group (45%). It is therefore suggested that the use of microsurgical techniques can improve the pregnancy outcome in patients with severe endometriosis.

Adult↗
PubMed1986

Repeat tuboplasty compared with primary microsurgery for postinflammatory tubal disease.

The conception rate in 21 patients who underwent repeat tuboplasty after a primary macrosurgical procedure was evaluated. These data were compared with those of 161 patients who underwent primary microsurgical tuboplasty. Eighteen percent of the patients in the repeat tuboplasty group conceived, and all pregnancies resulted in live births. The conception rate for those patients who underwent primary microsurgical tuboplasty was 51%: 33% live births, 11% spontaneous abortions, and 9% ectopic pregnancies. The conception rate for the repeat tuboplasty group with previous macrosurgery was significantly lower (P = 0.0095) than that of the primary microsurgical group. Three patients underwent a primary microsurgical procedure followed by a second microsurgical tuboplasty. There were no conceptions in this group.

Adolescent↗
PubMed1991

Reproductive outcome after unilateral tubocornual anastomosis and contralateral salpingostomy by microsurgery.

A unilateral tubocornual anastomosis and a contralateral salpingostomy for unilateral proximal and contralateral distal occlusive disease yield similar fertility as does pure tubocornual anastomosis for proximal occlusive disease. Ascending inflammation is postulated as the mechanism for tubal occlusion, with distal sparing from disease if the initial insult results in initial occlusion of the proximal portion of the oviduct.

Adult↗
PubMed1988

Primary microsurgery for postinflammatory tubal infertility.

Pelvic inflammatory disease is a common cause of tubal infertility. The pregnancy outcomes in 161 patients who underwent primary microsurgical tuboplasty for postinflammatory tubal disease at the Mayo Clinic from 1977 through 1981 were evaluated. The outcome (3-year rate) was evaluated for each category of microsurgical procedures. The proximal anastomosis group had a conception rate of 71% (50% live births, 30% spontaneous abortions, 6% ectopic pregnancies). The terminal salpingoneostomy group, which accounted for the largest number of procedures, had a conception rate of 47% (32% live births, 12% spontaneous abortions, 11% ectopic pregnancies). Even after microsurgical tubal reconstruction, most women do not achieve a live birth. Pregnancy outcome is probably related to several factors reflecting the severity of pre-existing intrinsic damage. Prognostic factors that may better predict pregnancy outcome are discussed.

Adolescent↗
PubMed1976

The use of microsurgery in the treatment of the undescended testis.

An experimental method of orchidopexy for high inguinal or abdominal testes, in the dog, using microsurgical anastomosis of the testicular vessels to vessels of the thigh or inferior epigastric vessels, is described. Experimental results suggest that this is a feasible method of treatment of such testes. A clinical trial of the method has commenced.

Animals↗
PubMed1986

Pediatric microsurgery: revascularization and replantation.

Pediatric microvascular surgery has received little attention in the literature until recently. The demonstrated feasibility with successful results represents a disproportionately small patient population when compared with adults. One reason for this delayed growth in pediatric revascularization and replantation appears to be a lack of awareness on the part of both referring physicians and microvascular surgeons as to its present indications and outcome. Several cases are presented along with a review of the current literature to clarify this issue. A protocol for managing these patients from a triage standpoint is also included.

Amputation, Traumatic↗