Surgical Treatment of the Tubal Infertility: Issues and Options

10.12737/3303 ◽  
2014 ◽  
Vol 21 (1) ◽  
pp. 121-127 ◽  
Author(s):  
Яковлева ◽  
Natalya Yakovleva
Keyword(s):  
Surgical Treatment ◽  
Surgical Management ◽  
High Efficiency ◽  
Assisted Reproductive Technologies ◽  
Adhesion Formation ◽  
Reproductive Technologies ◽  
Postoperative Adhesion ◽  
Fallopian Tubes ◽  
Tubal Infertility ◽  
Surgical Methods

There are two basic principles in the treatment of the tubal infertility: surgery and assisted reproductive technologies. The high efficiency of the surgical methods of the female reproductive functions recovery in comparison with in vitro fertilization is demonstrated in this paper. According to the literature review there are two effective basic surgical methods: microsurgery and endo-video-surgery in the treatment of the patients with tubal infertility. It was demonstrated that the unsuccessful results of the surgical treatment of the patients with tubal infertility are essentially connected to the fallopian tubes reocclusion and adhesive process recurrence in the small pelvis cavity. According to the new literature data, the different intra-operative and postoperative methods of the improvement of the effectiveness of the surgical management of this patient population were analyzed. However the further examinations are necessary, they will determine strict criteria for the treatment method choice of the patients with tubal infertility. The possible ways to increase the surgical management efficiency of the tubal infertility will be the surgical technique development and working out of the new methods of the rehabilitation therapy oriented to the prophylaxis of the fallopian tubes reocclusion, restoration of their functional activity, prophylaxis of the postoperative adhesion formation. The literature data review showed that surgical treatment and assisted reproductive technology must be considered as complement each other methods that may be used particularly and in combination.

scholarly journals ENDOMETRIOSIS AND INFERTILITY. OPERATION OR ASSISTED REPRODUCTIVE TECHNOLOGIES?

2018 ◽  
Vol 5 (1) ◽  
pp. 31-36
Author(s):  
Natalya S. Kuzmina ◽  
V. F Bezhenar ◽  
A. S Kalugina
Keyword(s):  
Surgical Treatment ◽  
Ovarian Reserve ◽  
Assisted Reproductive Technologies ◽  
Transvaginal Ultrasound ◽  
Statistical Significance ◽  
Reproductive Function ◽  
Ovarian Response ◽  
Reproductive Technologies ◽  
Ovarian Endometrioma ◽  
Infertility Patients

The aim of the study was to study the influence of the ovarian endometrioma on the ovarian reserve, the ovarian response in ovarian hyperstimulation, and outcomes of assisted reproductive technologies (ART). Material and methods. The study included 43 infertility patients underwent the surgical treatment of an ovarian endometrioma in the history. During the study, the follicles were counted separately (according to transvaginal ultrasound), eggs and embryos were obtained from the operated and intact ovaries. Results. The number of follicles in the ovary, operated due to endometriosis, is significantly lower than in the contralateral ovary (p = 0.005). The number of ovules punctured from the ovary, operated for endometriosis, is less than the number of ovules obtained from the intact ovary, but the difference does not reach statistical significance (p = 0.07). The number of high-quality embryos obtained from the ovary, operated for endometrioma, is statistically significantly lower than the number of similar embryos obtained from the intact ovary (p = 0.013). Conclusion. According to the conducted study, it can be concluded that the surgical treatment of endometrioma in infertility patients with the need for the implementation of the reproductive function reduces the number of follicles in the operated ovary and, accordingly, does not lead to an improvement in indices of the infertility treatment using ART. At the same time, the very presence of endometrioma is also known to negatively impact on outcomes of ART. Therefore, in infertility patients with the reduced ovarian reserve, individualization of approaches to treatment is extremely important.

scholarly journals Surgical treatment of the patients with tubal infertility using endoscopic and microsurgical methods

2013 ◽  
Vol 62 (5) ◽  
pp. 85-90
Author(s):  
Natalya Vyacheslavovna Yakovleva ◽  
Igor Olegovich Marinkin
Keyword(s):  
Surgical Treatment ◽  
Fallopian Tubes ◽  
Tubal Infertility ◽  
Surgical Interventions ◽  
Proximal Occlusion ◽  
Distal Occlusion

There are the results of the surgical treatment of 1257 patients with tubal infertility. It was demonstrated that surgical interventions with endo- and video-support are the most effective in the case of patients with distal occlusion of the fallopian tubes and proximal occlusion associated to the synechiae, little polyps, foreign substances. Microsurgical intervention is the method of choice in patients with real fibroid occlusion in the proximal tubes.

Advancements in microfluidic systems for the study of female reproductive biology

Endocrinology ◽  
2021 ◽  
Author(s):  
Vedant Vijay Bodke ◽  
Joanna E Burdette
Keyword(s):  
Reproductive Tract ◽  
Assisted Reproductive Technologies ◽  
Cell Structure ◽  
Endocrine Disrupting Chemicals ◽  
Three Dimensional ◽  
Reproductive Technologies ◽  
Female Reproductive Tract ◽  
Fallopian Tubes ◽  
Microfluidic Systems ◽  
Specific Disorders

Abstract The female reproductive tract is a highly complex physiological system, which consists of ovaries, fallopian tubes, uterus, cervix, and vagina. An enhanced understanding of the molecular, cellular, and genetic mechanisms of the tract will allow for the development of more effective assisted reproductive technologies, therapeutics, and screening strategies for female specific disorders. Traditional two-dimensional and three-dimensional static culture systems may not always reflect the cellular and physical contexts or physicochemical microenvironment necessary to understand the dynamic exchange that is crucial for the functioning of the reproductive system. Microfluidic systems present a unique opportunity to study the female reproductive tract as these systems recapitulate the multicellular architecture, contacts between different tissues, and microenvironmental cues that largely influence cell structure, function, behavior, and growth. This review discusses examples, challenges, and benefits of using microfluidic systems to model ovaries, fallopian tubes, endometrium, and placenta. Additionally, this review also briefly discusses the use of these systems in studying effects of endocrine disrupting chemicals and diseases such as ovarian cancer, preeclampsia, and PCOS.

scholarly journals Antibiotic Prophylaxis for Gynecologic Procedures prior to and during the Utilization of Assisted Reproductive Technologies: A Systematic Review

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Nigel Pereira ◽  
Anne P. Hutchinson ◽  
Jovana P. Lekovich ◽  
Elie Hobeika ◽  
Rony T. Elias
Keyword(s):  
Systematic Review ◽  
High Risk ◽  
Antibiotic Prophylaxis ◽  
Assisted Reproductive Technologies ◽  
Oocyte Retrieval ◽  
Reproductive Technologies ◽  
Fallopian Tubes ◽  
Saline Infusion Sonography ◽  
Patients At Risk ◽  
History Of

The use of assisted reproductive technologies (ART) has increased steadily. There has been a corresponding increase in the number of ART-related procedures such as hysterosalpingography (HSG), saline infusion sonography (SIS), hysteroscopy, laparoscopy, oocyte retrieval, and embryo transfer (ET). While performing these procedures, the abdomen, upper vagina, and endocervix are breached, leading to the possibility of seeding pelvic structures with microorganisms. Antibiotic prophylaxis is therefore important to prevent or treat any procedure-related infections. After careful review of the published literature, it is evident that routine antibiotic prophylaxis is generally not recommended for the majority of ART-related procedures. For transcervical procedures such as HSG, SIS, hysteroscopy, ET, and chromotubation, patients at risk for pelvic infections should be screened and treated prior to the procedure. Patients with a history of pelvic inflammatory disease (PID) or dilated fallopian tubes are at high risk for postprocedural infections and should be given antibiotic prophylaxis during procedures such as HSG, SIS, or chromotubation. Antibiotic prophylaxis is recommended prior to oocyte retrieval in patients with a history of endometriosis, PID, ruptured appendicitis, or multiple prior pelvic surgeries.

Re-imagining Reproduction: Unsettling Metaphors in the History of Imperial Science and Commercial Surrogacy in India

Somatechnics ◽  
2015 ◽  
Vol 5 (1) ◽  
pp. 88-103 ◽  
Author(s):  
Kalindi Vora
Keyword(s):  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
The Body ◽  
Body Parts ◽  
Colonial History ◽  
Women's Bodies ◽  
Commercial Surrogacy ◽  
Art Practices ◽  
History Of ◽  
Travel Industry

This paper provides an analysis of how cultural notions of the body and kinship conveyed through Western medical technologies and practices in Assisted Reproductive Technologies (ART) bring together India's colonial history and its economic development through outsourcing, globalisation and instrumentalised notions of the reproductive body in transnational commercial surrogacy. Essential to this industry is the concept of the disembodied uterus that has arisen in scientific and medical practice, which allows for the logic of the ‘gestational carrier’ as a functional role in ART practices, and therefore in transnational medical fertility travel to India. Highlighting the instrumentalisation of the uterus as an alienable component of a body and subject – and therefore of women's bodies in surrogacy – helps elucidate some of the material and political stakes that accompany the growth of the fertility travel industry in India, where histories of privilege and difference converge. I conclude that the metaphors we use to structure our understanding of bodies and body parts impact how we imagine appropriate roles for people and their bodies in ways that are still deeply entangled with imperial histories of science, and these histories shape the contemporary disparities found in access to medical and legal protections among participants in transnational surrogacy arrangements.

The use of Integra dermal regeneration matrix in the surgical treatment of a recurrent, extensive malignant skin lesion in the temporal region

2013 ◽  
Vol 154 (6) ◽  
pp. 225-227 ◽  
Author(s):  
Csaba Halmy ◽  
Zoltán Nádai ◽  
Krisztián Csőre ◽  
Adrienne Vajda ◽  
Róbert Tamás
Keyword(s):  
Surgical Treatment ◽  
Skin Lesion ◽  
Surgical Management ◽  
Skin Grafting ◽  
Skin Tumor ◽  
Temporal Region ◽  
Aesthetic Result ◽  
Malignant Skin ◽  
Dermal Regeneration Template ◽  
Dermal Regeneration

Authors report on the use of Integra dermal regeneration template after excision of an extended, recurrent skin tumor in the temporal region. The area covered with Integra was 180 cm2. Skin grafting to cover Integra was performed on the 28th day. Both Integra and the skin transplant were taken 100%. Integra dermal regeneration template can provide good functional and aesthetic result in the surgical management of extended skin tumors over the skull. Orv. Hetil., 2013, 154, 225–227.

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