scholarly journals Effect of fallopian tube ligation on tubal patency

2021 ◽  
Vol 32 (1) ◽  
pp. 66-68
Author(s):  
X. X. Meshcherov

Among the methods of surgical sterilization of women, ligation of the fallopian tubes is one of the oldest. First used by Lungren in 1880 in a woman with a narrow pelvis, this method, due to its lightness, speed and absence of significant trauma, attracted the attention of gynecologists and quickly found a wide range of applications. Soon, however, reports began to appear in the literature about the unreliability of this sterilization method (Fritsch, Arendt, Nrnberger, Pisemsky, etc.).

2021 ◽  
Vol 20 (4) ◽  
pp. 12-16
Author(s):  
Aml El-Shabrawy ◽  
◽  
Ahmed Elsheikh ◽  
Samy Gebreel ◽  
Mohammed Elsokkary ◽  
...  

Objective. Ectopic pregnancy adversely affects the patency of the fallopian tube and consequently the future pregnancy. There are different options of conservative treatment of tubal pregnancy such as methotrexate and salpingostomy [1]. There is little information on the success rate of maintaining tubal patency after methotrexate and salpingostomy [2]. Therefore, the aim of this study is to evaluate the ipsilateral tubal patency using HyCoSy after treatment of tubal pregnancy with methotrexate therapy versus salpingostomy. Patients and methods. This was a case-series study conducted in Ain Shams and Al-Azhar University Maternity Hospitals to evaluate the ipsilateral tubal patency using hysterosalpingo-contrast sonography (HyC0Sy) following salpingostomy and medical treatment of tubal pregnancy. This study included patients who were admitted to Ain Shams and Al-Azhar University Maternity Hospitals for having tubal pregnancy and were treated either with methotrexate or salpingostomy over a 4-year period between January 2017 and December 2020. The patients seeking fertility were re-evaluated for fallopian tubes patency by hysterosalpingogram 3 months after discharge. The study included 2 groups of women: group I (n = 200): women who were treated with methotrexate, and group II (n = 140): women who underwent salpingostomy. Results. HSG was performed in 200 cases of patients with tubal pregnancy who were treated with methotrexate and 140 cases of patients who underwent salpingostomy. The patency of the ipsilateral tube was 85% after methotrexate treatment and 84.2% after salpingostomy. There was no statistically significant difference between the two groups. Conclusion. The findings suggest similar success rate in maintaining the patency of the fallopian tube with either methotrexate or salpingostomy. Key words: ectopic pregnancy, hysterosalpingography, methotrexate, infertility, salpingostomy


Author(s):  
И.А. Баландина ◽  
А.М. Некрасова ◽  
А.А. Баландин

Работа основана на морфологическом исследовании ампул маточных труб 130 рожавших женщин молодого и старческого возраста. Применены макрометрический, гистологический, иммуногистохимический и микрометрический методы исследования. Выявлены закономерности возрастной морфологической изменчивости ампулы маточной трубы, проявляющиеся в уменьшении параметров их длины, а также наружных диаметров в середине ампулы и в местах перехода перешейка в ампулу и ампулы в воронку от молодого возраста к старческому возрасту. Гистоархитектоника ампул маточных труб у женщин в старческом возрасте характеризуется уплощением эпителия слизистой оболочки, образующей обилие близлежащих утолщенных складок, формирующих неравномерное сужение просвета ампулы. Определяется истончение мышечной оболочки с разрастанием вместо нее соединительной ткани и скоплением адипоцитов в подсерозной основе. В старческом возрасте отмечается более выраженная экспрессия виментина, прослеживающаяся не только в эндотелии и субэндотелиальном слое кровеносных сосудов, включая капилляры, но и в отдельных фибробластах. Установлено, что особенности микрометрических характеристик ампул маточных труб заключаются в уменьшении внутреннего периметра эпителиальной выстилки и площади просвета, наряду с увеличением площади их стенки при срединном сечении, в старческом возрасте в сравнении с молодым. The work is based on a morphological study of ampoules of the fallopian tubes of 130 young and senile women who gave birth. Macrometric, histological, immunohistochemical and micrometric methods of investigation were applied. The regularities of age-related morphological variability of the fallopian tube ampoule are revealed, which are manifested in a decrease in the parameters of their length, as well as external diameters in the middle of the ampoule and at the places of transition of the isthmus into the ampoule and ampoule into the funnel from young age to old age. Histoarchitectonics of ampoules of the fallopian tubes in women in old age is characterized by flattening of the epithelium of the mucous membrane, which forms an abundance of nearby thickened folds that form an uneven narrowing of the lumen of the ampoule. The thinning of the muscle membrane is determined with the growth of connective tissue instead of it and the accumulation of adipocytes in the subserose base. In old age, there is a more pronounced expression of vimentin, which can be traced not only in the endothelium and subendothelial layer of blood vessels, including capillaries, but also in individual fibroblasts. It was found that the features of the micrometric characteristics of the fallopian tube ampoules consist in a decrease in the inner perimeter of the epithelial lining and the lumen area, along with an increase in the area of their wall at the median cross-section in old age compared with young age.


2018 ◽  
Vol 46 ◽  
pp. 5
Author(s):  
Jia-San Zheng ◽  
Zheng Wang ◽  
Jia-Ren Zhang ◽  
Shuang Qiu ◽  
Ren-Yue Wei ◽  
...  

Background: Ectopic pregnancy mainly refers to tubal pregnancy and abdominal pregnancy. Tubal pregnancy presents as an implanted embryo that develops in the fallopian tubes, and is relatively common in humans. In animals, tubal pregnancy occurs primarily in primates, for example monkeys. The probability of a tubal pregnancy in non-primate animals is extremely low. Abdominal pregnancy is a type of ectopic pregnancy that occurs outside of the uterus, fallopian tube, ovary, and ligament(broad ligament, ovarian ligament, suspensory ligament).This paper describes two cases of ectopic pregnancy in cats.Cases: Cat 1. The presenting sign was a significant increase in abdominal circumference. The age and immune and sterilization status of the cat were unknown. On palpation, a 4 cm, rough, oval-shaped, hard mass was found in the posterior abdomen. Radiographic examination showed three high-density images in the posterior abdomen. The fetus was significantlycalcified and some feces was evident in the colon. The condition was preliminarily diagnosed as ectopic pregnancy. Cat 2. The owner of a 2-year-old British shorthair cat visited us because of a hard lump in the cat’s abdomen. The cat had a normal diet and was drinking normally. Routine immunization and insect repulsion had been implemented. The cat had naturally delivered five healthy kittens two months previous. Radiographs showed an oval-shaped mass with a clear edge in the middle abdominal cavity. Other examinations were normal. The case was preliminarily diagnosed as ectopic pregnancy, and the pregnancy was surgically terminated. The ectopic pregnancies were surgically terminated. During surgery, the structures of the uterus and ovary of cat 1 were found to be intact and the organs were in a normal physiological position.Cat 1 was diagnosed with primary abdominal pregnancy. In cat 2, the uterus left side was small and the fallopian tube on the same side was both enlarged and longer than normal. Immature fetuses were found in the gestational sac. Thus, cat 2 was diagnosed with tubal ectopic pregnancy based on the presenting pathology.Discussion: Cats with ectopic pregnancies generally show no obvious clinical symptoms. The ectopic fetus can remain within the body for several months or even years. Occasionally, necrotic ectopic tissues or mechanical stimulation of the ectopic fetus can lead to a systemic inflammatory response, loss of appetite, and apathy. The two cats in our reportshowed no significant clinical symptoms. To our knowledge, there have been no previous reports of the development of an ectopic fetus to maturity, within the abdominal cavity of felines, because the placenta of cats cannot support the growth and development of the fetus outside of the uterus. Secondary abdominal ectopic pregnancy, lacking any signs of uterine rupture is likely associated with the strong regenerative ability of uterine muscles. A damaged uterus or fallopian tube can quickly recover and rarely leaves scar tissue. In the present report, cat 1 showed no apparent scar tissue, nor signs of a ruptured ovary or fallopian tubes. It was diagnosed with primary ectopic abdominal pregnancy, which could arise from the descent of the fertilized egg from the fallopian tube into the abdominal cavity. There was an abnormal protrusion in left of the fallopian tubes in cat 2, to which the gestational sac was directly connected. Based on pathological examination of the uterus, fallopian tubes, and gestational sac, the cat was diagnosed with a tubal pregnancy. Placental tissues and signs of fetal calcification were observed in both the fallopian tube and gestational sac.Keywords: tubal pregnancy, abdominal pregnancy, feline, ectopic fetus, fallopian tube, gestational sac.


2018 ◽  
Vol 8 (2) ◽  
pp. 23-25
Author(s):  
Hasna Hena ◽  
Shamim Ara ◽  
Hosna Ara Perven ◽  
Dilruba Siddiqua ◽  
Fatema Johora ◽  
...  

Context: Problems with the fallopian tubes can lead to infertility. Disease can be defined and measured only in terms of deviation from normal structure. Detailed morphological and histological knowledge is essential for the diagnosis and management of fallopian tube disease. Objectives: To identify the outer diameter of the infundibulum and its changes with advancing age. Study Design: Cross sectional descriptive type of study. Period and place: Department of anatomy, Dhaka Medical College from July 2008 to June 2009. Materials: Present study was performed on post mortem fallopian tubes of 60 Bangladeshi female. Among them lowest age was 12 years and highest age was 50 years. Methods: Samples were divided into three differential age groups: Group A (10-13 years), Group B (14-45 years), Group C (46-50 years). All samples were studied morphologically and histologically. Results: The mean outer diameter of the infundibulum of the right and left fallopian tubes ranged from 0.80±0.01 to 1.03±0.22 mm. The difference between all the groups were statistically significant (p < 0.001). Conclusion: There was change in outer diameter of the infundibulum of fallopian tubes of left and right in relation to age. Update Dent. Coll. j: 2018; 8 (2): 23-25


1967 ◽  
Vol 18 (5) ◽  
pp. 755 ◽  
Author(s):  
RJ Lightfoot ◽  
KP Croker ◽  
HG Neil

Sixteen ewes were drawn from each of two ewe flocks, one of which had grazed on oestrogenic pastures for annual periods over the previous 5 years ("clover" treatment) while the other grazed on green oats ("oats" treatment). Fertility of ewes on the clover treatment had decreased progressively, whereas in those on the oats treatment it had remained high. Oestrous ewes were allocated alternately to receive either two or eight services then killed 24 hr post coitus and the numbers of sperm in the cervix, uterus, and fallopian tubes determined. There was no difference in ovarian activity between the two groups; however, highly significant differences were found in the numbers of sperm recovered from the cervix, uterus, and fallopian tubes. Average sperm numbers per fallopian tube were 17,160 and 350 for ewes on the oats and clover treatments respectively. In addition to the reduction in sperm numbers, both the percentage of motile sperm flushed from the cervix and the proportion of recovered ova with sperm attached to the zona pellucida were lower in ewes on the clover treatment. The results suggest that primary failure of sperm transport in ewes on the clover treatment occurred when sperm did not enter the cervix in adequate numbers following service. The significance of these observations in relation to possible causal mechanisms is discussed.


2003 ◽  
Vol 13 (Suppl 1) ◽  
pp. 89.3-89
Author(s):  
J. M.J. Piek ◽  
J. Bulten ◽  
P. J. van Diest ◽  
L. F. Massuger ◽  
R. P. Zweemer ◽  
...  

1797 ◽  
Vol 87 ◽  
pp. 197-214 ◽  

The ancients imagined that the woman had her testicles, as well as the man, and her own semen. They taught, that in the coitus there was a mixture of the male and female semen in the uterus, and that from a process like fermentation between those two fluids, an embryo was produced. Lewenhoeck said the embryo belonged to the male; and saw, or thought he saw, animalcules in the male semen, resembling the animals to which they belonged. Spallanzani says, that the semen of male animals having no animalcules, impregnates as certainly as that of those which have them. This shows that those animalcules are not embryos. Steno, observing that there were round vesicles in the testicles of women, like the eggs of birds, called them ovaria, and said their structure was exactly similar to the ovaria of birds. After this the immortal Harvey broached the doctrine of “ omnia ab ovo ;" that all animals were produced from ova. “ Nos autem asserimus, “ animalia omnia, et hominem ipsum, ex quibusdam ovis nasci." The ova in the ovaria of rabbits are particularly described by De Graaf, whence Haller calls them ova Graffiana. But the ovaria of quadrupeds often contain vesicles of the hydatid kind; and it becomes difficult to distinguish between what are vesicles, and what are ova. The mark with me is this: the ova are inclosed in a capsule highly vascular from arteries and veins, carrying red blood. The hydatid vesicles are not vascular; at least their vessels carry no red blood. The calyx and the ovum, after impregnation, and even before it, in the state in which the quadruped is said to be hot , become black as ink, from the greater derivation of blood; and the ova resemble dark spots: they also come nearer the surface of the ovarium, so as to pout or project, at last, like the nipple in a woman's breast. Some hours after impregnation, the calyx and the coverings of the ovaria burst, and the ovum escapes; may fall into the general cavity of the abdomen, and form an extra-uterine fœtus; but almost always falls into the mouth of the fallopian tube, whose fimbriæ, like fingers, grasp the ovarium, exactly at the place where the ovum is to escape. What the appearance of the ovum was, when deprived of its calyx, or when descending the fallopian tube, was not known. De Graaf discovered this in the fallopian tubes of rabbits, in the year 1672; and says, “ minutissima “ ova invenimus, quæ licet perexigua, gemina, tamen, tunica “ amiciuntur; " and then adds, “ hæc quamvis incredibilia, “ nobis demonstratu facillima sunt."


2017 ◽  
Vol 45 (6) ◽  
Author(s):  
Sonal Panchal ◽  
Asim Kurjak ◽  
Chaitanya Nagori

AbstractThree-dimensional ultrasound (3D US) is a modality of choice for prenatal diagnosis of congenital malformations. But 3D-four-dimensional US(4D US) is of utmost importance also to achieve pregnancy. 3D US plays an important role for diagnosis of PCO, to assess ovarian reserve and response and thus to decide optimum stimulation protocols. It adds to the information on follicular maturity and endometrial receptivity, thus improving the chances to achieve pregnancy for patients under treatment for fertility. 3D hystero-contrast-salpingography (HyCoSy) has also proved itself to be one of the best modalities for assessment of tubal patency. In this article, the role of 3D and 4D US is discussed for the following. I. Pretreatment assessment of the females desiring fertility which includes assessment of uterus and fallopian tubes. II. Monitoring of infertile females undergoing treatment. III. Assessment of very early pregnancy – especially in abnormal locations.


2009 ◽  
Vol 16 (10) ◽  
pp. 1493-1503 ◽  
Author(s):  
Bassem Refaat ◽  
Majedah Al-Azemi ◽  
Ian Geary ◽  
Adrian Eley ◽  
William Ledger

ABSTRACT Chlamydia trachomatis infection can lead to pelvic inflammatory disease, ectopic pregnancy (EP), infertility, and chronic pelvic pain in women. Activins and inducible nitric oxide synthase (iNOS) are produced by the human fallopian tube, and we speculate that tubal activins and iNOS may be involved in the immune response to C. trachomatis in humans and their pathological alteration may result in tubal pathology and the development of EP. Blood and fallopian tubes were collected from 14 women with EP. Sera were analyzed by enzyme-linked immunosorbent assay to detect antibodies against chlamydial heat shock protein 60 (chsp60) and the major outer membrane protein of C. trachomatis. Confirmation of C. trachomatis serology was made using the microimmunofluorescence test. The patients were classified into three groups according to their serological results, and immunohistochemistry and quantitative reverse transcription-PCR were performed to investigate the expression of candidate molecules by tubal epithelial cells among the three groups. This is the first study to show an increase in the expression of activin βA subunit, type II receptors, follistatin, and iNOS within the human fallopian tube of EP patients who were serologically positive for C. trachomatis. A similar expression profile was observed in the fallopian tubes with detectable antibodies only against chsp60. These results were shown at the mRNA and protein levels. We suggest that tubal activin A, its type II receptors, follistatin, and NO could be involved in the microbial-mediated immune response within the fallopian tube, and their pathological expression may lead to tubal damage and the development of EP.


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