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Titolo:
LAPAROSCOPIC FIMBRIOPLASTY AND NEOSALPINGOSTOMY - EXPERIENCE OF THE YAOUNDE-GENERAL-HOSPITAL, CAMEROON (REPORT OF 194 CASES)
Autore:
KASIA JM; RAIGA J; DOH AS; BIOUELE JM; POULY JL; KWIATKOWSKI F; EDZOA T; BRUHAT MA;
Indirizzi:
UNIV HOSP,POLYCLIN HOTEL DIEU,13 BLVD CHARLES DE GAULLE,BP 69 F-63003CLERMONT FERRAN FRANCE UNIV HOSP,POLYCLIN HOTEL DIEU F-63003 CLERMONT FERRAN FRANCE YAOUNDE GEN HOSP YAOUNDE CAMEROON CTR REG LUTTE CONTRE CANC F-63011 CLERMONT FERRAN FRANCE
Titolo Testata:
European journal of obstetrics, gynecology, and reproductive biology
fascicolo: 1, volume: 73, anno: 1997,
pagine: 71 - 77
SICI:
0301-2115(1997)73:1<71:LFAN-E>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
OPERATIVE LAPAROSCOPY; TUBAL OBSTRUCTION; INFERTILITY; TUBOPLASTY;
Keywords:
FIMBRIOPLASTY; NEOSALPINGOSTOMY; INTRAUTERINE PREGNANCY; ECTOPIC PREGNANCY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
J.M. Kasia et al., "LAPAROSCOPIC FIMBRIOPLASTY AND NEOSALPINGOSTOMY - EXPERIENCE OF THE YAOUNDE-GENERAL-HOSPITAL, CAMEROON (REPORT OF 194 CASES)", European journal of obstetrics, gynecology, and reproductive biology, 73(1), 1997, pp. 71-77

Abstract

Objective(s): To study the fertility results after laparoscopic distal tuboplasty and compare them with the data in the literature, Study design: 194 laparoscopic distal tuboplasties were carried out from May 1992 to May 1994 in the Yaounde General Hospital (Cameroon). The results were analysed according to the age of the patients, the type and duration of infertility, past history of abortion, laparotomy and Chlamydia trachomatis infection, the tube and adhesion scores, surgical procedures and achievement of pregnancy. The fertility rates were calculated according to Cramer's method [11]. The cumulative pregnancy rate curves were drawn up from the life table [12] and compared using the Log-Rank test. Results: 53 patients obtained pregnancy (27.3%) of which 45 were inter-uterine (23.2%) and 8 ectopic (4.1%). Of the 45 intra-uterine pregnancies (IUP), 36 were obtained after fimbrioplasty (33.3%) and 9 after neosalpingostomy (10.5%). The monthly fertility rate at oneyear was 1.4%. The rate of IUP for tube stages I and II is significantly higher than that for stages III and IV (p<0.001). However the rateof ectopic pregnancies (EP) is proportional to damage to the tubes. Infection with Chlamydia trachomatis, and residual inflammation could have an effect on the achievement of pregnancy. Conclusion(s): Our results are similar to those found in the literature. The tube stage thus remains the decisive factor in terms of fertility (Cox: p <0.001). Operative laparoscopy is the best alternative in our countries compared with laparotomy for distal tubal pathology. (C) 1997 Elsevier Science Ireland Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 06:38:48