Author/Editor     Tomaževič, T; Ribič-Pucelj, M; Vogler, A; Bokal, E; Virant, I; Drobnič, S; Zorn, B; Ban, H; Korošec, S; Kuhelj-Recer, J
Title     Mesto endoskopske kirurgije pri zdravljenju neplodnosti zaradi distalne okvare jajcevodov
Translated title     The place of endoscopic surgery in the treatment of infertility due to distal tubal lesions
Type     članek
Source     Endoskopska Revija
Vol. and No.     Letnik 8, št. 19
Publication year     2003
Volume     str. 3-9
Language     slo
Abstract     Background: To define the present position of endoscopic tubal surgery in the treatment of infertility due to distal tubal lesions. Patients and methods: We evaluated the results of endoscopic salpingoplasty in 258 of the 296 women with distal tubal lesions operated on between 1994 and 2000, and the results of 348 IVF/ET cycles in the sarne group of patients. Results. One hundred and fourteen women (42%) became pregnant after surgery. The live birth rate was 28% (77/280), the abortion rate 5% (14/280), and the ectopic pregnancy rate 8% (22/280). IVF/ET was performed in 348 cycles. The cumulative pregnancy rate after surgery and 1.2 complementary IVF/ET cycles per woman was 67% (116/236), the cumulative live birth rate was 49%, the cumulative abortion rate 8% and the cumulative ectopic pregnancy rate 10%. Conclusion. Endoscopic tubal surgery occupies an important place in the treatment of infertility in women with distal tubal lesions. The results can be further improved through better selection of patients by salpingoscopy.
Summary     Izhodišče. Oceniti pomen endoskopskega operiranja pri sodobnem zdravljenju ženske neplodnosti zaradi okvar distalnega dela jajcevodov. Bolnice in postopki. Analizirali smo rezultate 258 od 296 endoskopskih salpingoplastik v letih 1994-2001 pri ženskah z neplodnostjo zaradi okvar v distalnem predelu jajcevodov. Obenem smo v isti skupini bolnic analizirali rezultate 348 ciklusov IVF/ET. Rezultati. Po operaciji je naravno zanosilo 114 žensk (42%). Delež žensk s porodom živega otroka je bil 28% (77/280), delež žensk, ki so imele splav, je bit 5% (14/280), delež žensk z ektopično nosečnostjo pa 8% (22/280). Sto šestintrideset žensk, ki eno leto po operaciji niso naravno zanosile smo v 348 ciklusih vključili v program IVF/ET. Dejanski skupni delež zanositve po eni operaciji in po 1,2 postopkih IVF na žensko v skupini 258 žensk je bil 67%, dejanski skupni delež živorojenih otrok 49% (116/236). skupni delež spontanega splava 8% in skupni delež ektopične nosečnosti 10 %. Zaključki. Endoskopska kirurgija jajcevodov ima pomembno mesto pri zdravljenju neplodnosti zaradi distalnih okvar jajcevodov. Z boljšo izbiro bolnic za kirurgijo jajcevodov in za lVF/ET s pomočjo salpingoskopije bi lahko skupni doseženi rezultat še izboljšali.
Descriptors     INFERTILITY, FEMALE
FALLOPIAN TUBE DISEASES
SURGERY, LAPAROSCOPIC
FERTILIZATION IN VITRO
SALPINGOSTOMY
MICROSURGERY