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Titolo:
Place of the hysteroscopy in the infertility diagnosis and treatment
Autore:
Merviel, P; Mergui, JL; Sananes, S; Antoine, JM; Salat-Baroux, J; Uzan, S;
Indirizzi:
Hop Tenon, Serv Gynecol Obstet & Med Rrprod, F-75020 Paris, France Hop Tenon Paris France F-75020 bstet & Med Rrprod, F-75020 Paris, France
Titolo Testata:
PRESSE MEDICALE
fascicolo: 23, volume: 29, anno: 2000,
pagine: 1302 - 1310
SICI:
0755-4982(20000701)29:23<1302:POTHIT>2.0.ZU;2-3
Fonte:
ISI
Lingua:
FRE
Soggetto:
IN-VITRO FERTILIZATION; SEPTATE UTERUS; UTERINE SYNECHIAE; OPERATIVE HYSTEROSCOPY; INVITRO FERTILIZATION; SUBMUCOUS FIBROIDS; METROPLASTY; RESECTION; HYSTEROSALPINGOGRAPHY; RESECTOSCOPE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
85
Recensione:
Indirizzi per estratti:
Indirizzo: Merviel, P Hop Tenon, Serv Gynecol Obstet & Med Rrprod, 4 Rue Chine, F-75020 Paris, France Hop Tenon 4 Rue Chine Paris France F-75020 75020 Paris, France
Citazione:
P. Merviel et al., "Place of the hysteroscopy in the infertility diagnosis and treatment", PRESSE MED, 29(23), 2000, pp. 1302-1310

Abstract

Uterine disorders: Because they can prevent implantation, anomalies withinthe uterine cavity play an important role in fertility. The uterine disorders most often observed during hysteroscopy and implicated in infertility are adhesions, septa, polyps, submucous myomas, adenomyosis, endometritis, anomalies of the cervical canal, and lesions of the uterotubal junction. Explorations: Hysterosalpingography can be used to evaluate tubal permeability but provides inadequate information about the uterine cavity (numerousfalse-positives and false-negatives). Pelvic ultrasound is especially helpful for diagnosing interstitial anomalies in the uterus. Hysteroscopy: Diagnostic hysteroscopy also has a place in infertility investigations, for it allows direct visualization of the uetrine cavity, the endometrial mucus (endometritis, adenomyosis), and the cervical canal. The examination is practiced on a out-patient basis, without anesthesia, using appropriate small-caliber instruments and irrigation with physiological saline. Surgical hysteroscopy is used to treat these anomalies. Patients receive general anesthesia. A high-frequency, low-voltage electric current is used, and glycine for irrigation. This procedure allows resection of submucousmyomas and polyps and of septa and adhesions. Some groups use laser beams and irrigation by physiological saline for these treatments. Coagulation ofa superficial focal spot of adenomyosis is not useful in infertility therapy. Results: As assessed by the percentage of patients with each indication who subsequently became pregnant, the results of surgical hysteroscopy have been satisfactory: 62 per cent (%) of cases after myomectomy, 66% after section of uterine septa, and 61% after treatment of complicated adhesions. A new exploration of the uterine cavity will be necessary sometime after the surgery to verify the absence of any iatrogenic disorders (adhesions, myomatous fragments).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 08:54:26