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PubMedDate not supplied

[Ultrasound hysterosalpingography with levovist in the diagnosis of tubaric patency].

UNLABELLED: PURPOSE AIM: To asses the diagnostic value of hysterosalpingo-contrast sonography (HyCoSy) with Levovist(R) as alternative to conventional hysterosalpingography (HSG) in the study of infertility. MATERIAL AND METHODS: From September 1988 to March 2000 we evaluated 120 patients with a history of infertility. Thirty patients underwent both HyCoSy and HSG. HyCoSy was performed in the pre-ovulatory phase of mestrual cycle. The tecnique was the same for both examinations. After administering 15 ml contrast medium, we visualized the endometrial cavity, the flow of the contrast medium along the fallopian tubes and its passage into the peritoneum. RESULTS: In all cases Color-Power Doppler allowed visualization of the uterine cavity and of the spilling of the contrast medium into the peritoneum, yielding information on tube patency that was comparable to that obtained by conventional HSG. In 28 cases (93%) we obtained optimal visualization of the contrast medium at the level of both the endometrial cavity and the fallopian tubes. HyCoSy proved to be superior to conventional HSG in evaluating adjacent myometrial structures, adnexa and degree of follicular maturation, equal to HSG in visualizing the passage of the contrast medium into the peritoneum but inferior to HSG in imaging the fallopian tubes owing to their tortuosity. DISCUSSION AND CONCLUSIONS: The absence of ionising radiation makes HyCoSy a possible first choice examination in the evaluation of fallopian tube pathology. Conventional HSG should be kept for doubtful cases or for surgical procedures to correct mono- or bilateral obstruction.

Adult↗
PubMed2002

Hysterosalpingographic accuracy of peritubal adhesion.

The purpose of this study was to determine diagnostic accuracy of hysterosalpingography by using different diagnostic criteria in peritubal adhesion diagnosis. The authors retrospectively reviewed cases in which both hysterosalpingography and laparoscopy were performed. Fifty-nine of 84 cases had laparoscopy proved peritubal adhesion. Five hysterosalpingographic signs (convoluted tube, vertical tube, ampullary dilatation, peritubal halo and loculation of the spillage of contrast material) defined by Karasick and Goldfarb were used to diagnose peritubal adhesion. All cases were analyzed by two different diagnostic criteria: first diagnostic criterion, presence of one or more signs means abnormal; second diagnostic criterion, presence of two or more signs means abnormal. Peritubal adhesion was diagnosed in 70 of 84 cases by using the first diagnostic criterion, 53 of 84 cases by using the second diagnostic criterion. The first diagnostic criterion displayed 94.9 per cent sensitivity, 44 per cent specificity, 80 per cent positive predictive value, 79.76 per cent accuracy and the likelihood ratio of 1.69. The second diagnostic criterion showed 74.6 per cent sensitivity, 64 per cent specificity, 83 per cent positive predictive value, 71.43 per cent accuracy and the likelihood ratio of 2.07. The authors conclude that using the 2nd diagnostic criterion is more appropriate than using the 1st diagnostic criterion in diagnosing peritubal adhesion.

Adult↗
PubMed2001

[Clinical study on treatment of oviduct obstruction by integrative traditional Chinese and Western medicine].

OBJECTIVE: To find an effective and practical treatment of oviduct obstruction (OvO). METHODS: One hundred and twenty OvO patients were randomly divided into three groups, the TCM-WM group, treated with integrative traditional Chinese and western medicine, the TCM group treated with Chinese herbal medicine alone and the WM group treated with western medicine alone. The therapeutic effect as well as the effect of treatment on serum C-reactive protein (CRP) and interleukin-1 beta (IL-1 beta) were observed. RESULTS: After treatment, the fallopian tube patency rate was 86.7% and the pregnant rate 85.0% in the TCM-WM group, while in the TCM group was 66.7% and 63.3% respectively, and in the WM group 53.3% and 50.0% respectively. Comparison among the three groups showed that the effect in the TCM-WM group was significantly superior to that in the other two groups (P < 0.01). The levels of CRP and IL-1 beta were all lowered after 3 courses of treatment, and the effect was more evident in the TCM-WM group (P < 0.01). CONCLUSION: TCM-WM treatment is a good and practical method in treating oviduct obstruction.

Adult↗
PubMed1977

Laparoscopy and hysterosalpingography in the assessment of tubal patency.

Laparoscopy was performed after hysterosalpingography in 409 patients complaining of infertility. Despite the use of general anesthesia and continuous screening technics during hysterosalpingography, conflicting diagnoses were made in 77 of the 117 patients where an abnormality of patency was detected by one or another technic. Peritubal adhesions were detected by hysterosalpingography in only 18 of the 54 cases where they were demonstrated by laparoscopy. Laparoscopy gave much useful information either at variance with or in addition to that yielded by hysterosalpingography.

Fallopian Tube Patency Tests↗
PubMed1992

[Functional aspects of healing in microsurgical tubal anastomosis--experimental studies of the rabbit fallopian tube].

Ovarian function and fertility was studied in 46 female New Zealand White rabbits after isthmic-isthmic reanastomosis of the oviduct. Postoperative ovarian function was slightly suppressed and returned to normal after two month. No significant differences were found between the control side and the side of anastomosis. Fertility was reduced directly after surgery on the side of anastomosis as well as on the control side. On the side of reanastomosis a continuous increase of tubal function occurred up to two month after surgery. At this time tubal function was reduced to 30%, the nidation index was about 0.6. Tubal function of the untreated oviduct was nearly normal (nidation index 0.8) two weeks after surgery.

Animals↗
PubMed2003

Concomitant abdominal and intrauterine pregnancy after in vitro fertilization in a woman with bilateral salpingectomy. A case report.

BACKGROUND: Abdominal pregnancy is a rare event, and the concomitant presence of an intrauterine pregnancy is very exceptional. CASE: A case of concomitant abdominal and intrauterine pregnancy following in vitro fertilization and embryo transfer (IVF-ET) occurred in a woman with bilateral salpingectomy. The abdominal pregnancy was successfully treated surgically, with preservation of the intrauterine pregnancy. CONCLUSION: A careful ultrasound examination should be performed on women who have undergone IVF-ET, and the possibility of abdominal pregnancy should be kept in mind in the differential diagnosis of acute abdomen.

Adult↗
PubMed2004

[Analysis of 1006 cases with selective salpingography and fallopian tube recanalization].

OBJECTIVE: To retrospectively analysis of selective salpingography (SSG) and fallopian tube recanalization (FTR) in 1006 infertile women with tube obstruction, to summarize their clinical effect and practical value, to analyze the related factors which can improve treatment effect and pregnancy rate, and give suggestions of their indication and contraindication. METHODS: SSG and FTR using self-made coaxial catheter were carried out in 1006 infertile cases with tube obstruction of various portions and extents confirmed by hysterosalpingography (HSG). The one-year cumulative pregnancy rate and the effective rate by HSG reexamination were calculated, in combination with dynamic observation of preoperative HSG and intraoperative tube imaging. RESULTS: In the complete tubal occlusion group of 601 tubes in 315 cases, the recanalization rate was 87.9% (528/601), among which, 35.4% was only treated by SSG and 64.6% by FTR. Postoperative pregnancy rate and ectopic pregnancy rate were 39.9% and 2.7% respectively, and tubal reocclusion was 1.8% in one-year's follow up. In those failure to recanalization, tubal tuberculosis was in 4 cases, salpingitis isthmica nodosum was in 3 cases, isthmic occlusion was in 9 cases with club-changed terminal, ampullar or fimbrial occlusion was in 6 cases, and tubal fibrosis in 10 cases. In the incomplete tubal occlusion group of 1314 tubes in 691 cases, catheterized hydrotubation was carried out. Fimbrial adhesion diagnosed by HSG was found false positive or negative in 65 cases. The pregnancy rate was 53.6%, 45.7% and 26.8% in the mildly, moderately and severely occluded cases respectively. The ectopic pregnancy rate was 1.4%. The patent rate confirmed by HSG reexamination was 86.9% one year later. Sixteen cases with obvious fimbrial adhesion or enwrapped adnexa in both groups were treated by laparoscopy, with a coincidence rate of 97.1%. CONCLUSIONS: Selective salpingography and fallopian tube recanalization have both effects of diagnosis and treatment on tubal infertility. The techniques are simple, safe, and credible, and worth to be applied clinically. Knowing the shapes of fallopian tube confirmed by preoperative HSG can increase the rates of recanalization.

Adult↗
PubMed2005

A case report to influence therapeutic philosophy when presented with the findings on laparoscopy of a unilateral hydrosalpinx with a contralateral diseased but patent fallopian tube without hydrosalpinx.

PURPOSE: To determine if a patent fallopian tube associated with hydrosalpinx can be associated with unexplained implantation failure of morphological superior embryos. METHODS: Salpingectomy was performed on a woman with a patent fallopian tube who had failed to conceive despite the previous transfer of 27 superior quality embryos. A single embryo was transferred using minimal stimulation. RESULTS: Conception and normal delivery occurred. CONCLUSIONS: A patent tube with a hydrosalpinx may be associated with failure of embryos to implant. Salpingectomy can correct this defect.

Adult↗
PubMedDate not supplied

Transvaginal salpingo-sonography (TSSG) in the evaluation of tubal patency.

Transvaginal sonography was used in 78 patients to evaluate tubal patency as a control in infertility workup. The cervix was fitted with a Semm cervix-adapter (Wisap); air and saline were injected through it. Careful scanning of the uterine angles and of the tubes permitted to demonstrate bilateral passage of the contrast medium in 52 of the 55 patients and monolateral passage in 3. 21 patients had also other conventional evaluations of tubal patency. Two patients were excluded from protocol. Total agreement with hysterosalpingography (HSG) was found in 69.2% of the cases, partial agreement in 23%. Total agreement with laparoscopy (LPS) was found in 83.3% of the cases. In conclusion transvaginal sonosalpingography (TSSG) can be used as a first ambulatorial evaluation of tubal patency in infertility work-up.

Adult↗
PubMed1991

[Organ-sparing surgical treatment of tubal pregnancy].

With microsurgical techniques, 28 organ-preserving operations were made for tubal pregnancy in females aged 22-36 years. According to the nature of the interventions performed, the patients were divided into 4 groups. Uterine pregnancy was demonstrated to occur in 11 (39.3%) of 28 females. Organ-preserving operations were concluded to be widely introduced into everyday practice. The operations are gaining in importance in young females without inflammatory genital diseases.

Adult↗
PubMed1991

[Functional evaluation of the effectiveness of experimental reconstructive and plastic operations on the uterine horns].

In the given experimental model, tubo-plastic surgery was done with the use of locally produced fibrin glue (Fk-1), and commercial product "Beriplast" (FRG). In the control group microsurgical technique was adopted in the uterine horn of rats. It was proved that Fibrin glue reduces the frequency of post operative adhesion formation in the area of anastomosis and the chance of pregnancy is increased in comparison to microsurgical techniques.

Animals↗
PubMed1990

[Introduction and results in the endoscopic treatment of extrauterine pregnancy].

After having applied endoscopic treatment of ectopic pregnancy for one year we herein report on 50 patients who were treated either by laparoscopy (in 20 cases) or laparotomy (in 30 cases). Conservative endoscopic surgery was performed in 12 cases (9 salpingotomy, 2 endoscopic restoration, 1 partial resection of the ovary) while conservative surgical methods by laparotomy were applied in 13 cases (8 milk out, 3 milk out with fimbrioplasty, 1 salpingotomy, 1 partial resection of the ovary). Partial endoscopic salpingectomy was necessary in 8 cases. Out of the women with laparotomy management 4 underwent an adnexectomy and 13 a salpingectomy. After laparoscopic treatment of ectopic pregnancy two patients developed an intrauterine pregnancy and in one case an ectopic pregnancy was observed again. In the laparotomy-group no intrauterine or ectopic pregnancy recurred in the period under review. There was no complication after laparoscopic management of ectopic pregnancy. However a temperature above 38 degrees C occurred in 5 cases after laparotomy caused by local inflammation or by post-operative infiltration. After endoscopic salpingostomy patency of the fallopian tubes was proofed by hysterosalpingography in 6 cases, and all tubes were found to be patent. Endoscopic management of ectopic pregnancy is recommended due to low post-operative morbidity rates and short time of hospitalization.

Fallopian Tube Patency Tests↗