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  • Title: [The relationship between intraperitoneal adhesion index and anatomical status of oviductal ampullary mucosa in patients with distal tubal occlusion].
    Author: Starczewski A, Sowińska-Przepiera E.
    Journal: Ginekol Pol; 2001 Aug; 72(8):647-51. PubMed ID: 11599251.
    Abstract:
    OBJECTIVES: An effort was made to verify co-relation between intraperitoneal adhesions and anatomy of oviductal mucosa of infertile women with distal tubal occlusion. MATERIALS AND METHODS: The study comprised 25 infertile women with distal tubal occlusion. The patients were allocated into 3 groups: A--11 women with the history of pelvic inflammatory disease (PID); B--9 patients with previous gynecological abdominal surgery; and C--5 women without PID nor surgery. Intraperitoneal adhesion index as well as oviductal mucosa were evaluated during laparoscopy and salpingoscopy. RESULTS: Women with the history of PID presented strong co-relation between intraperitoneal adhesions and anatomical abnormalities of the tubal mucosa with distal tubal occlusion. The co-relation was stronger then in women with previous abdominal surgery. Following the evaluation of the fallopian tubes, 5 out of 11 patients with history of PID, 6 of 9 women with history of previous surgery and all 5 without any risk factors were qualified for microsurgical reconstructive treatment. The remaining patients were sent for in vitro fertilization and embryo transfer.
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