Author/Editor		Tomaževič, T; Ribič-Pucelj, M; Omahen, A; Colja, B
Title		Microsurgery and IVF/ET for infertility resulting from pathological proximal tubal blockage
Type		članek
Source		In: Gomel V, Leung PCK, editors. In vitro fertilization and assisted reproduction. Proceedings of the 10th world congress of in vitro fertilization and assisted reproduction; 1997 May 24-28; Vancouver. Bologna: Monduzzi Editore,
Publication year		1997
Volume		str. 1089-93
Language		eng
Abstract		The aim of this study was to evaluate the prognosis for the patients after the treatment of infertility resulting from proximal tubal blockage and using microsurgical tubocornual anastomosis and IVF/ET complementarily for treatment. Fifty-nine microsurgical operations (1986-1992) for infertility resulting from pathological proximal tubal lesions were included. The cumulative live birth rate was 52% tubocornual anastomoses, 58% for bilateral operations and 28% for bipolar operations. In all 35 singleton babies were born. Twenty-two of 32 operated patients who did not deliver in two or more years after surgery were treated by 66 IVF/ET cycles. Twelve babies were born. The live birth rate was 18% per cycle and 54% per patient. Combining both treatment methods in the group of tubocornual anastomosis the combined live birth rate was improved up to to 69%, in the group of bilateral up to 75% and in the group of bipolar operations up to 57%. Complementation of microsurgery in and IVF/ET improves the prognosis for selected infertile patients with pathological proximal tubal blockage. Delay between surgery and IVF/ET should be 1 year.
Descriptors		MICROSURGERY INFERTILITY, FEMALE FERTILIZATION IN VITRO EMBRYO TRANSFER