ABSTRACT
The authors compare the efficacy of surgical treatment of tubal sterility using laparoscopy (133 cases) and microsurgical techniques (120 cases). The results were assessed with due consideration for the dissemination of adhesions (first-second and third-fourth degrees), status of the uterine tubes, and presence or absence of chlamydial infection. Surgical correction via an endoscopic access was found to be preferable in adhesions of the first-second degree, whereas in adhesions of the third-fourth degree surgical interventions are inadvisable.
Subject(s)
Fallopian Tube Diseases/surgery , Infertility, Female/surgery , Salpingostomy/methods , Chlamydia Infections/complications , Chlamydia Infections/surgery , Endoscopes , Endoscopy/methods , Fallopian Tube Diseases/etiology , Female , Follow-Up Studies , Humans , Infertility, Female/etiology , Microsurgery/instrumentation , Microsurgery/methods , Postoperative Care , Salpingostomy/instrumentation , Tissue Adhesions/etiology , Tissue Adhesions/surgeryABSTRACT
The authors presented the results of microbiological study of internal genitalia of 22 females operated on for tubal infertility caused by chronic salpingitis (all of them were subjected to laparoscopic or laparotomic intervention with subsequent salpingoovariolysis and fimbriostomatoplasty). Cervical discharge, endometrial biopsy specimens, tissue and contents of sactosalpinx as well as abdominal exudates were subjected to bacteriological study. Quantitative and qualitative assessment of aerobic and anaerobic microflora composition was made. The findings stated the variety of inflammation activity levels disregarding the degree of anatomical changes in the genitalia. However, microorganisms were detected in the focus of inflammation only in the acute stage of the inflammation in the true pelvis.
Subject(s)
Bacterial Infections/complications , Fallopian Tubes/microbiology , Infertility, Female/etiology , Salpingitis/complications , Adult , Bacterial Infections/microbiology , Chronic Disease , Exudates and Transudates/microbiology , Female , Humans , Infertility, Female/microbiology , Salpingitis/microbiologyABSTRACT
Bacteriologic findings in 101 patients before and after hysterectomy for benign tumors, inflammations, uterine prolapse are presented. Changes in aerobic and anaerobic vaginal and endocervical microflora species were demonstrated with respect to the phase of the cycle and the age of the patient. Pre- and postoperative genital mifroflora is represented by aerobic and anaerobic opportunity organisms, such as enterococcus, epidermal staphylococcus, E. coli, lactobacilli, eubacteria, and bacteroides. Postoperative complications are caused by associations of aerobic and anaerobic bacteria, with anaerobic organisms as the leading causative agent. Categories of risk with respect to infectious postoperative complications have been identified on the basis of microbiologic parameters.
