PURPOSE To evaluate the prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in women undergoing assisted reproduction in a public reference service in the midwestern region of Brazil. METHODS A cross-sectional study was conducted on 340 women aged from 20 to 47 years with a history of infertility, undergoing assisted reproduction techniques. Infections with Chlamydia trachomatis and...

A case of recurrent tubal pregnancies occurring at intervals of 7 and 12 years after puerperal sterilization is presented. Dr. E.P.L. Loong, Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin (Hong Kong) Introduction Ectopic pregnancy is a potentially hazardous complication following tubal sterilization which, if not recognized and tr...

Attempts to utilize pharmacologically active agents to close the fallopian tubes date back at least to 1849 when Froriep reported passing a cannula transcervically to the uterine tubal ostia and cauterizing the tubal lumen with a nitric acid-coated probe.14 Salgado reported in 194 1 that Brazilian midwives lavaged the uterine cavity with a mixture of tincture of iodine and carbolic acid as a co...

This study aims to evaluate the prevalence of menstrual dysfunction and hysterectomy rates up to 10 years after tubal ligation in women in Counties Manukau District Health Board. 213 women who underwent tubal ligation in year 2004 were followed up over 10 years in a retrospective observational study looking at the prevalence of menstrual dysfunction in these women after tubal ligation. Their cl...

Background: Tubal pregnancy is a common gynecological acute abdomen, and is often treated by laparoscopic salpingotomy. This study aimed to compare two pituitrin injection methods in laparoscopic salpingotomy for tubal pregnancy. Methods: 200 patients with unruptured tubal pregnancy were randomly divided into observation group 1, observation group 2 and control group. Before laparoscopic salpin...

Tubal sterilization is one of the contraceptive methods whose use has increased the most in Brazil, but a growing number of women have expressed regret after the procedure. A case-control study was conducted at the Centro Integrado de Saúde Amaury de Medeiros (CISAM), Recife, Pernambuco, Brazil, in 1997 to investigate the association between changes in family structure and request for or submit...

BACKGROUND The role of the innate immune system in tubal implantation remains undefined. This study compared expression of two key mediators of innate immunity, secretory leukocyte protease inhibitor (SLPI) and elafin, in the uterine decidua of women with intrauterine and tubal pregnancies. METHODS Uterine decidua was collected from women (18-45 years) undergoing surgical termination of pregn...

Ectopic pregnancy, a worldwide health problem, is potentially life-threatening and occurs in approximately 1.5-2% of all pregnancies in the western world; however, the precise mechanisms underlying the initiation and development of tubal ectopic pregnancy are unknown. Tubal abnormalities and dysfunction, such as altered contractility or abnormal ciliary activity, have been speculated to lead to...

The da Vinci(®) robotic surgical system has been used more often in recent years for tubal anastomosis (TA) and has been reported to have an increased operative time. A one-stitch technique has been used for the reanastomosis step in laparoscopic TA. To date, publications on robotically-assisted TA (RATA) describe an anastomotic step with multiple (usually four) sutures placed. This retrospecti...

OBJECTIVES Mycoplasma genitalium has been associated with cervicitis, endometritis, and tubal factor infertility. Because the ability of this bacterium to ascend and infect the fallopian tube remains undefined, we performed an investigation to determine the prevalence of M genitalium in fallopian tube, endometrial, and cervical specimens from women laparoscopically diagnosed with acute salpingi...