Hydrosalpinx Cutting or Fixing?
Journal Title: International Journal of Multidisciplinary Research and Analysis - Year 2019, Vol 2, Issue 02
Abstract
Hydrosalpinx is a fluid-filled distension of the fallopian tube with concurrent distal tubal occlusion.Hydrosalpinxassociated infertility is supposed to be treated only by IVF. Furthermore, salpingectomy plays a crucial role prior to IVF and scientific evidences have shown that it may improve pregnancy outcomes compared to functional surgery by removing the toxic effects of hydrosalpinx. However, functional surgery may be the excellent option in developing countries or in cases with specific characteristics. Functional surgery (i.e. fimbrioplasty, salpingostomy, microsurgical tubocornual anastomosis) may be amenable to performed in hydrosalpinges. Fimbioplasty, salpingostomy, and microsurgical tubocornual anastomosis may increase pregnancy rate by 53%, 30%, and 80% respectively. Thin-walled hydrosalpinges with mucosal adhesions had a higher rate of tubal pregnancy, whereas thick-walled hydrosalpinges with fibrosis of the wall were not compatible with normal pregnancy. Functional surgery is, therefore, indicated in patients with thin-walled hydrosalpinges with minimal or no mucosal adhesions.Studies have shown that laparoscopic salpingectomy improves IVF outcomes. It should be performed only when hydrosalpinges are unable to be repaired or in cases of IVF failure. Functional tubal surgery should be preferred to salpingectomy in milder forms of tubal disease or in developing countries. Proper assessment of tubal mucosa of hydrosalpinges should be performed prior to surgical treatment as this will prevent mis-management of patients.
Authors and Affiliations
Eddy Hartono
Keywords
Related Articles
- EP ID EP684023
- DOI -
- Views 198
- Downloads 0
Measuring Company Value with Intervening Profitability Variables in Companies Listed on the Indonesia Stock Exchange's LQ-45 Index for the 2018–2021 Period
This study aims to analyze the effect of company size, capital structure and dividend policy on company value with profitability as an intervening variable in LQ-45 Companies Listed on the Indonesia Stock Exchange for th...
The Influence of Entrepreneurial Knowledge and ICT Self Efficacy on Technopreneurial Intention Mediated Entrepreneurial Motivation
Indonesia's jobless rate is highest among graduates with vocational training. One of these is purportedly because pupils still have poor technologically preeminent intentions even when they are enrolled in vocational sch...
Utilization of the Internet as a Learning Resource; A Case Study of Students at State Senior High School 1 Tanjungpandan, Belitung Regency
This study aims to determine the utilization of the internet as a learning resource. This type of research is descriptive quantitative. The population in this study were students at Tanjungpandan 1 Senior High School, Be...
The Effect of Capital Adequacy Rasio (CAR) and Liquidity on Profitability of Islamic Comercial Banks in Indonesia for The 2015- 2019 Period
This study aims to determine how the Effect of Capital Adequacy Ratio (CAR) and Liquidity on Profitability of Islamic Commercial Banks in Indonesia for the 2015-2019 Period. The results of data processing using the SPSS...
Assessment of Genetic Diversity Index in Feral Colonies of Apis Species within Different Eco-Habitats of Bengaluru
The objective of our study was to screen the extent of genetic variability and phylogenetic relations among the three kinds of honey bee species from Bengaluru at different habitats. The Asian honey bee species i.e., Api...