ABSTRACT
Presently, open microsurgery and laparoscopic microsurgery must be used for the treatment of tubal lesions with favourable prognosis (70% of proximal tubal lesions and 45% of distal tubal lesions) because, in these lesions, the results are better than these obtained by in vitro fertilization. Essential principles of microsurgery must be respected by the tubal surgery.
Subject(s)
Salpingitis/surgery , Female , Humans , Laparoscopy , Microsurgery/methods , Prognosis , Salpingitis/classificationABSTRACT
In studying 40 cases of salpingitis diagnosed by laparoscopy, the course of which was controlled with a second laparoscopy, the authors try to evaluate the overall effectiveness of the treatment, the effectiveness according to the type of salpingitis, and finally the effectiveness according to the nature of the antibiotic treatment.
Subject(s)
Laparoscopy , Salpingitis/drug therapy , Ampicillin/therapeutic use , Cephalosporins/therapeutic use , Doxycycline/therapeutic use , Drug Combinations , Female , Humans , Minocycline/therapeutic use , Pelvic Inflammatory Disease/drug therapy , Peritonitis/drug therapy , Salpingitis/classification , Tissue AdhesionsABSTRACT
The histological examination made by means of tubal section allows us to predict; in a large number of cases, the functional future of the tubes after plastic surgery. The results obtained through surgical treatment of the various internal tubal occlusions can be summarised thus: a persistance of permeability is very marked in the internal tubal occlusions and more especially, in the colonisations. But on the whole, uterine pregnancies, including those with abortion, and gestations whose development is unknown, are less frequent than those obtained after surgical treatment ofr external tubal occlusions. In fact, the percentage of pregnancies after external tubal occlusions is 22%, with 18% of the pregnancies going the full term; 15% in cases of internal tubal occlusion, with only 5 pregnancies, that is 7%.
