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At least 19 recordsLinked to original sources

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↗

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↗

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↗

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↗

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↗