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Biomedical subjects

V Loffredo

Publications and source records attributed to V Loffredo.

40 records · Page 3Linked to original sources

Endoscopy of the tube (= tuboscopy): its prognostic value for tuboplasties.

A tuboscopy was performed during tuboplasties, in 131 cases; this method gives the surgeon a direct, panoramic view of the ampullary mucosa; the lesions observed differ in 50% of cases from what was expected according to the hysterosalpingography. A 2 year follow-up shows that normal uterine pregnancies occurred only in women with at least one tube with normal mucosa according to the tuboscopy, whichever the lesions or the results of the hysterosalpingography; the other cases only had ectopic pregnancies or spontaneous abortions.

Endoscopy↗

Pregnancies after terminal microsurgical tuboplasties with early laparoscopic control on the 8th day.

226 terminal or bipolar tuboplasties performed in a continuous series from 1976 to 1982, using microsurgical techniques, are reviewed. 5 varieties of fimbrioplasties and 5 of salpingostomies are described. As previously published, an early laparoscopy was systematically performed 8 days after the plasty, with destruction of new adhesions, the latter being a bilateral obstacle to fecundation in 10% of the total. Out of 175 primary tuboplasties, cumulative pregnancy rate (CPR) is 66% +/- 2 X 6,5 and "real" pregnancy rate (RPR) 46%. For 96 cases of hydrosalpinges, CPR is 49% +/- 2 X 7,5 and RPR 43%. The ectopic pregnancy rate is 9% and spontaneous abortion rate 8%. Out of 47 terminal iterative tuboplasties CPR is 30% +/- 2 X 9 and RPR 25%. 10% of the pregnancies are attributed to the early laparoscopy, which enabled one to destroy bilateral adhesions in these cases.

Adult↗