Salpingectomy or proximal tubal occlusion of unilateral hydrosalpinx increases the potential for spontaneous pregnancy

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Salpingectomy or proximal tubal occlusion of unilateral hydrosalpinx increases the potential for spontaneous pregnancy.

BACKGROUND Studies carried out over the past 10 years have suggested that hydrosalpinges reduce the pregnancy rate in IVF. Here we report our observations of spontaneous pregnancies in patients who underwent salpingectomy (n = 18) or proximal tubal occlusion (n = 7) following diagnoses of unilateral hydrosalpinges and patent contralateral tubes. METHODS This multi-centre, retrospective study ...

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I-25: Management of Hydrosalpinx in ART

Hydrosalpinx, is one of the severe manifestations of tubal disease, is associated with significantly lower implantation and pregnancy rates, increased spontaneous abortion and ectopic pregnancy.This condition is usually due to PID but may also result from peritonitis of any cause or tubal damage from previous surgery.The mechanism for poor outcome in patients undergoing IVF is not yet clear. Ma...

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Hydrosalpinx: Functional Surgery or Salpingectomy

Background: Hydrosalpinx is a common cause of female infertility1 and adversely affects the outcomes of in vitro fertilization (IVF). Although IVF is the main treatment, alternative treatments, such as salpingectomy and functional tubal surgery have been suggested.2 Previously, hydrosalpinx was diagnosed using tubal patency tests (transvaginal ultrasound, TVUS; hysterosalpingography, HSG; and l...

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When Salpingectomy Is Not Salpingectomy—Ipsilateral Recurrence of Tubal Pregnancy

Theoretically, total salpingectomy eliminates the risk of an ipsilateral tubal pregnancy. However, total salpingectomy is difficult to achieve using endoloops alone. We describe a situation where this resulted in an ipsilateral recurrence of tubal pregnancy which required emergency intervention and removal of the tubal remnants.

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Unilateral tubal twin pregnancy.

DESHPANDE, N., WANG, D.Y., BULBROOK, R.D. & MCMILLAN, M. (1965) Hormone studies in cases of testicular feminization. Steroids, 6, 437. HAUSER, G.A., KELLER, M., KOLLER, T., WENNER, R. & GLOOR, F. (1957) Testikulare "Feminisierung" bei Erwachsenen. Schweiz. med. Wschr. 87, 1573. JACKSON, I. (1965) lhe artificial vagina. J. Obstet. Gynaec. Brit. Cwlth, 72, 336. MCMILLAN, M. (1966) Five cases of t...

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ژورنال

عنوان ژورنال: Human Reproduction

سال: 2003

ISSN: 1460-2350

DOI: 10.1093/humrep/deg509