Abstract
Tubal disease was found in 78 of 100 consecutive Nigerian patients who had laparoscopy for infertility, while 22 patients had patent tubes. Forty-two patients had bilateral tubal occlusion; 18 had unilateral occlusion, while 18 had gross pelvic adhesions. Forty-one patients had cornual block, and 10 had hydrosalpinges. Multiparas were more prone to unilateral tubal occlusion or gross pelvic adhesions compared with nulliparas. In 27 (35 percent) patients with tubal disease in vitro fertilization (IVF) would be the only suitable treatment, while in another 10 (12 percent) patients with hydrosalpinges, IVF probably offers a better prognosis than microsurgery.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Cates W., Farley T. M., Rowe P. J. Worldwide patterns of infertility: is Africa different? Lancet. 1985 Sep 14;2(8455):596–598. doi: 10.1016/s0140-6736(85)90594-x. [DOI] [PubMed] [Google Scholar]
- Edwards R. G., Steptoe P. C., Purdy J. M. Establishing full-term human pregnancies using cleaving embryos grown in vitro. Br J Obstet Gynaecol. 1980 Sep;87(9):737–756. doi: 10.1111/j.1471-0528.1980.tb04610.x. [DOI] [PubMed] [Google Scholar]
- Giwa-Osagie O. F., Ogunyemi D., Emuveyan E. E., Akinla O. A. Etiologic classification and sociomedical characteristics of infertility in 250 couples. Int J Fertil. 1984;29(2):104–108. [PubMed] [Google Scholar]
- Gomel V. An odyssey through the oviduct. Fertil Steril. 1983 Feb;39(2):144–156. [PubMed] [Google Scholar]
- Lenz S., Lauritsen J. G. Ultrasonically guided percutaneous aspiration of human follicles under local anesthesia: a new method of collecting oocytes for in vitro fertilization. Fertil Steril. 1982 Dec;38(6):673–677. doi: 10.1016/s0015-0282(16)46692-6. [DOI] [PubMed] [Google Scholar]
- Siegler A. M., Kontopoulos V. An analysis of macrosurgical and microsurgical techniques in the management of the tuboperitoneal factor in infertility. Fertil Steril. 1979 Oct;32(4):377–383. doi: 10.1016/s0015-0282(16)44289-5. [DOI] [PubMed] [Google Scholar]
- Wallach E. E., Manara L. R., Eisenberg E. Experience with 143 cases of tubal surgery. Fertil Steril. 1983 May;39(5):609–617. doi: 10.1016/s0015-0282(16)47054-8. [DOI] [PubMed] [Google Scholar]
- Wikland M., Nilsson L., Hansson R., Hamberger L., Janson P. O. Collection of human oocytes by the use of sonography. Fertil Steril. 1983 May;39(5):603–608. doi: 10.1016/s0015-0282(16)47053-6. [DOI] [PubMed] [Google Scholar]
- Wood C., Trounson A., Leeton J., Talbot J. M., Buttery B., Webb J., Wood J., Jessup D. A clinical assessment of nine pregnancies obtained by in vitro fertilization and embryo transfer. Fertil Steril. 1981 May;35(5):502–508. doi: 10.1016/s0015-0282(16)45490-7. [DOI] [PubMed] [Google Scholar]