Diagnosis and Management of Tubo-Uterine Factors in Infertility

ISBN-13: 9789401176231 / Angielski / Miękka / 2012 / 304 str.

R. F. Harrison; J. Bonnar; W. Thompson

Opis

This is the second compilation of papers given during the Related Communica- tions Sessions of the XIth International Federation of Fertility Societies World Congress held on June 26th-July 1st 1983 at the Royal Dublin Society, Dublin, Ireland. Except for Part I, where results of animal experimentations are gathered together, the volume is concerned solely with studies in the human. The role of infection and endometriosis in the aetiology and treatment of the tubo- uteroperitoneal factor in infertility are the concern of Parts II and III. Diagnostic and therapeutic aspects of tubal disease are covered in Parts IV and V and the book ends with Part VI, chapters on the uterus and vagina. Laparoscopy and microsurgical techniques have undoubtedly transformed the diagnostic and therapeutic outlook in this area of infertility. This book shows you how far such techniques have progressed and how much there is yet to do. Dublin, 1983 Robert F. Harrison lohnBonnar William Thompson xi List of Contributors 5. A. Z. BADAWY J. ABE Department of Obstetrics and Gynecology Department of Obstetrics and Gynecology Kyoto Prefectural University of Medicine Upstate Medical Center Kawarmachi-Hirokogi, Kamikyoku, Kyoto 750 E. Adams Street JAPAN 602 Syracuse, NY 13210 USA M. ALACHMAR "Marika Eliadi" Maternity Hospital 2 Helena Venizelos Square M. BERG Athens 115 21 Department of Clinical Sciences GREECE University of Tampere Teiskontie 35 W. ALBRICH SF-33520 Tampere Department of Obstetrics and Gynecology FINLAND University of Munich Marchioninistrasse D-8000 Munich 70 G.

Spis treści

I: The Animal Oviduct.- Section 1: Physiology.- 1 The impact of tubal surgery on early embryonic development in the rabbit oviduct.- 2 Transport of proteins and water out of an artificial hydrosalpinx in the rabbit.- Section 2: Microsurgical Techniques.- 3 Ultrastructural changes of the mucosa in rabbit fallopian tube after reanastomosis.- 4 Quantitative morphometrical and histopathological study in rabbit oviducts following microsurgical treatment.- 5 Reanastomoses of rabbit oviducts with monofilament and polyfilament absorbable sutures — a histological study.- 6 Conventional sutures versus fibrin glue in microsurgical anastomosis of reproductive tissue.- 7 The tissue reaction to different kinds of suture material in the uterus and the oviduct of the rabbit.- 8 Prevention of adhesions and restoring patency during oviduct anastomosis in rabbits: microscope versus loupes.- 9 Inhibition of peritoneal adhesion formation by colchicine.- 10 Prevention of re-formation of pelvic adhesions by ‘Barrier’ methods.- II: Tubo-Uterine Infection.- 11 Scanning electron microscopic studies on the changes of the oviduct due to ageing, menstrual cycle, pregnancy and inflammation.- 12 Chronic histological inflammation and Chlamydia trachomatis in women selected for tuboplasties.- 13 Specific IgG and IgA antibodies to Chlamydia trachomatis in infertile women.- 14 Tuberculosis of the female genital system.- 15 Resistant Ureaplasma urealyticum in infertile patients: a proposed method of treatment.- 16 Prevalence of Ureaplasma uralyticum in habitual spontaneous abortion.- III: Endometriosis.- Section 1: Pathophysiology.- 17 Aetiology of infertility in patients with endometriosis.- 18 Peritoneal fluid 6-keto prostaglandin Fl? levels in women with endometriosis.- 19 Decreased concentration of ovarian LH (hCG) receptor in polycystic ovarian disease and endometriosis.- 20 Autoimmune phenomena in infertile patients with endometriosis.- Section 2: Therapy and Results.- 21 Endoscopic cytopuncture in the diagnosis of intraovarian endometriosis.- 22 Objective assessment of medical treatment of endometriosis with gestrinone (R2323).- 23 Treatment of infertility due to endometriosis with low-dosage danazol.- 24 Endometriosis associated with hyperprolactinaemia.- 25 A newly designed conservative surgery for advanced pelvic endometriosis.- 26 Surgical treatment of ovarian endometriosis.- IV: Tubal Factor Diagnosis.- Section 1: Clinical Results of Diagnostic Endoscopy.- 27 Laparoscopic findings in 801 sterile patients.- 28 Improved laparoscopic fertility testing.- 29 Combined endoscopic findings in 682 infertile women and 135 women requesting sterilization reversal.- Section 2: Endoscopic Results in Comparison with Other Techniques.- 30 Diagnostic evaluation of hysterosalpingography in infertile patients.- 31 Endoscopy of the tube (tuboscopy): its prognostic value compared with hysterosalpingography.- 32 Comparison between uterotubal insufflation, hysterosalpingography and laparoscopy.- 33 Diagnostic laparoscopy in primary infertility.- 34 Laparoscopy in the investigation of subfertility.- 35 Laparoscopic findings in 375 women attending the Rotunda Hospital Infertility Clinic.- V: Microsurgery.- Section 1: Case Selection.- 36 Contraindications to tubal restorative surgery. Proposal for a dissuasive laparoscopic score.- 37 The cytology of tubal secretions for selection of salpingostomies by microsurgical technique.- 38 In vitro fertilization and embryo replacement in relation to tubal surgery for infertility.- 39 Psychological issues in mechanical infertility.- Section 2: Special Techniques.- 40 Danazol as an ovulation inhibitor prior to tubal surgery.- 41 Temporary ovarian suspension for prevention of recurrent adhesions after salpingostomy.- 42 Pregnancies after terminal microsurgical tuboplasties with early laparoscopic control on the eighth day.- 43 Laparoscopic and hysteroscopic CO2 laser procedures in infertility.- 44 Microsurgical techniques for selective removal of tubocornual polyps.- Section 3: Clinical Results.- 45 Therapy and long-term results after different operative procedures for extrauterine pregnancy.- 46 Emergency microsurgery.- 47 Pelvic microsurgery in an Irish context.- 48 Microsurgical restoration of tuboperitoneal infertility in 125 women.- VI: Uterus and Vagina.- 49 Hysteroscopy in infertility.- 50 Treatment of intrauterine adhesions.- 51 The place of metroplasty in the management of congenital uterine malformation.- 52 Psychosexual consequences of Vecchietti’s operation in Rockitansky-Küster-Hauser syndrome.- 53 Canalization of mucus in human fertility.- 54 Treatment of cervical mucus infection by means of doxycycline polyphosphate in 53 hypofertile women.