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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Original Research
Preliminary results of tubal surgery with pregnancy outcome
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1
Department of Reproductive, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou City
2
Department of Gynecology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou City
3
Department of Obstetrics, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou City (China)
Clin. Exp. Obstet. Gynecol. 2015, 42(4), 505–509;
https://doi.org/10.12891/ceog1929.2015
Published: 10 August 2015
Abstract
Purpose of investigation: To assess the preliminary results of tubal surgery and its effect on pregnancy outcome. Materials and Methods: The study included 440 patients with unilateral or bilateral tubal disease as the only cause of the infertility. All patients undergoing a laparoscopy for infertility were studied in reproductive surgery centre. The fallopian tube was classified into class I-IV. The studied outcomes were live birth, ectopic pregnancy, and miscarriage. After 12 months, cumulative conception rate was calculated. Results: In the 440 patients, 172 patients with mild salpinx abnormality (class I) had a 34% cumulative pregnancy rate, 151 patients with moderate salpinx abnormality (class II) had a 16% cumulative pregnancy rate, and 77 patients with severe salpinx abnormality (class III) had a 10% cumulative pregnancy rate. No intrauterine pregnancies were observed in the severe group of 40 patients (class IV). Conclusion: Surgical laparoscopy is helpful for class I and II tubal abnormality, while it is not for class III and IV abnormalities.
Keywords
Infertility
Laparoscopy
Pregnancy outcome