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At least 19 recordsLinked to original sources
PubMed1976

Tubal pregnancy in Nigerian Igbos.

Fifty cases of excised tubal pregnancy which occurred in the Igbos of Nigeria are reviewed. Twenty percent of the tubes were unruptured at the time of excision, indicating a high level of awareness of the condition among local doctors. There were several pointers to the conclusion that, in this ethnic group, tubal pregnancy tends to be seen at an advanced stage. It also tends to occur in the younger women, to manifest during the first known pregnancy, to recur, and to be associated with salpingitis. Interstitial tubal pregnancy is also probably relatively common.

Adolescent↗
PubMed1976

Conservative surgical management of tubal pregnancy.

In an attempt to maintain optimal fertility in the patient treated for midtubal pregnancy, an investigation of conservative surgical procedure was made. The technic developed utilizes tubal excision, reanastomosis, and a single hydrotubation with Dextran. Tubal patency was maintained without the use of stents that may damage the fimbria. The procedure is compared to other conservative technics and its advantages discused. Thus far 2 patients have undergone this excision and reanastomosis, and both patients successfully established intrauterine gestations within 2 months of returning to normal active coital frequency. Both were in the midtrimester of pregnancy at the time of this report.

Adult↗
PubMed1984

The functional potential of the rabbit fimbria.

The ability of the normal rabbit fimbria to retrieve eggs after progressive reduction of its mucosal surface was tested on 16 New Zealand white rabbits. Group 1 had a small fimbrial resection; group 2 had a large one. The resected tissue was weighed, and in both groups the contralateral fimbria (internal control) was cut and sutured without resection. Four weeks later the animals were mated, and 12 hours afterwards the ovulation sites on each ovary were counted and both tubes excised. In vivo observations of the transport of cumulus surrogates by the experimental fimbria were made before tubal excision in group 2 animals. The natural eggs retrieved by the fimbria were recovered by flushing the resected tubes with saline. The infundibulum and fimbria were cut from the ampulla and weighed to calculate the amount of fimbrial resection achieved. In group 1 the experimental side retrieved 82% of the eggs; in group 2 the experimental side retrieved 72%. In vivo observations revealed the presence of a spontaneously formed neofimbria that transported cumulus surrogates in a normal pattern and at a normal rate. The fimbria appeared dispensable, a fimbrialike structure formed spontaneously, the functional results were optimal, and the number of ovulation after surgery was unchanged. Some similarities can be observed in women.

Animals↗
PubMed1986

Prognostic factors influencing the pregnancy rate after microsurgical cornual anastomosis.

Eighty-two women with symmetric cornual blockage were selected for evaluation of the results of microsurgical anastomosis in relation to data from preoperative hysterosalpingography and histologic study of excised tubal specimens. Serial sections from 164 occluded tubal portions were examined. The term pregnancy rate was 44%. Several prognostic factors influencing the postoperative pregnancy rate were revealed: maximized tubal length; preserved intramural portion; absence of chronic inflammation; absence of tubal inclusion in the tubal wall; and absence of tubal endometriosis.

Fallopian Tube Diseases↗
PubMed1992

Salpingitis isthmica nodosa in infertility and ectopic pregnancy.

Excised tubal segments from 94 infertile women with tubal obstruction, with a mean infertility duration of 5.3 years, and 40 women with ectopic tubal pregnancy were studied histopathologically to evaluate the association with salpingitis isthmica nodosa (SIN). The mean age of the 94 infertile women with tubal obstruction was 24.5 years. Hysterosalpingographies and laparoscopy were performed on all of them. Only the women with ectopic pregnancies we performed salpingectomy on were included in the present study. The incidence of SIN in women with tubal obstruction was 7.4%, in women with ectopic tubal pregnancy 10%, and in the control group the incidence was 0.2%. In 60% of the cases, SIN was present in both of the tubes. Based on this study, we conclude that SIN is significantly associated with infertility and ectopic tubal pregnancy.

Adult↗
PubMed1976

[Surgical procedures for sterilization of the women: certainty--complications (author's transl)].

The time (interval, postpartum, postabortum), location (uterus, mucus membrane of the oviducts, tubes), access (transcervical, transvaginal, trans-abdominal) and the actual method of sterilization for the women (surgical, electric, thermic, mechanical) can be differentiated and combined with each other in various ways. Today the usual procedure is sterilization by partial resection of the oviducts performed laparoscopically in the interval via electrocoagulation and surgically after delivery via periumbilical minilaparotomy. Laparoscopic sterilization via electrocoagulation has a rate of failure of about 1:1,000 and the mortality rate is less than 1:10,000. The most frequent complications are: hemorrhages due to injury of the larger vessels and burns in the intestine caused by the electric current. For this reason, conventional (:unipolar") electrocoagulation should be replaced by the so-called bipolar coagulation or other newer methods which avoid these complications. On the basis of the current literature, no definitive statements can be made regarding the reliability of the newer methods (silastic ring, plastic clips, thermocoagulation). An additional, although up until now purely hypothetic, advantage of the newer methods is the possibility of reversibility. With conventional electrocoagulation, the rate of reversilbility is very low. Additional alternatives are also culdotomy and minilaparotomy in the interval with the assistance of a uterus elevator. Both ways of access may be combined with various methods of sterilization. The pros and cons of the hysterectomy as a method of sterilization are still being discussed. Occasional late sequelae of sterilization such as menstrual disorders, pain and, particularly, problems related to sexual intercourse have only recently come to light. They have not yet been adequately investigated.

Electrocoagulation↗
PubMed1985

The pathologic spectrum of uterotubal junction obstruction.

Excised tubal segments from 42 women with uterotubal junction obstruction were studied histologically to evaluate the pathologic spectrum of disease and correlate this with clinical data. The most frequent lesion encountered was obliterative fibrosis (38.1%), confirmed by connective tissue stains, which was not associated with cornual nodularity. Other pathologic entities included salpingitis isthmica nodosa (23.8%), intramucosal endometriosis (14.3%), and chronic tubal inflammation (21.4%). Intramucosal endometriosis was distinguishable from salpingitis isthmica nodosa by virtue of its unique stroma confirmed by connective tissue staining. Women with previous pregnancies were included in all the groups. In all instances, the obstruction was present in the transmural portion of the tube and extended a variable distance into the isthmic segment. These observations on uterotubal junction obstruction demonstrate that: 1) There are multiple distinct histologic patterns, 2) Intraabdominal findings do not predict the histology of the uterotubal junction pathology, 3) Any histologic pattern can be associated with a previous intrauterine or ectopic pregnancy, and 4) The obstruction begins within the transmural portion of the oviduct, extends a variable distance into the isthmic segment, but does not obstruct the ampullary segment. These data suggest that the initiating process originates within the uterus and that fibrosis may represent a nonspecific response to chronic injury of the transmural and isthmic segments of the oviduct.

Chronic Disease↗
PubMed1981

Endoscopic salpingectomy.

A new laparoscopic surgical procedure, endoscopic salpingectomy, is reported. The technique is based on laparoscopic surgical procedures by electrocoagulation, performed with a triple-puncture technique. It is indicated for patients complaining of chronic pelvic pain clinically treated without success and/or who wish to be sterilized and also have chronic pelvic pain, with positive tubal findings of enlargement and/or hyperemia at laparoscopy. Also presented are pre- and postoperative care, instruments, technique, complications, results and follow-up on the first 100 patients who underwent this procedure.

Adult↗
PubMed1993

Twice-failed tubal ligation: a case report.

The case is presented of a twice-failed tubal ligation in a woman with six previous children. The first failure followed laparoscopic tubal occlusion by silastic falope rings, while the second failure was subsequent to tubal ligation and division via minilaparotomy. No similar reports have been reported in the East African Literature. Possible reasons for failure are discussed.

Adult↗