EFFICIENCY OF PARTIAL RESECTION OF AMPULLA OF UTERINE TUBE WITH THE FOLLOWING SALPINGOSTOMY IN PATIENTS WITH ECTOPIC PREGNANCY TO PRESERVE THEIR FERTILITY
Aim. To evaluate the efficacy of partial resection of ampulla of uterine tube followed by salpingostomy compared to salpingostomy alone in patients with tubal pregnancy. Materials and Methods. We recruited 182 females with tubal pregnancy who were then randomized to undergo either endoscopic...
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Kemerovo State Medical University
2018-03-01
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| Series: | Фундаментальная и клиническая медицина |
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| Online Access: | https://fcm.kemsmu.ru/jour/article/view/79 |
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| author | LARISA E. Fetischeva VADIM G. Mozes IGOR S. Zakharov |
| author_facet | LARISA E. Fetischeva VADIM G. Mozes IGOR S. Zakharov |
| author_sort | LARISA E. Fetischeva |
| collection | DOAJ |
| description | Aim. To evaluate the efficacy of partial resection of ampulla of uterine tube followed by salpingostomy compared to salpingostomy alone in patients with tubal pregnancy. Materials and Methods. We recruited 182 females with tubal pregnancy who were then randomized to undergo either endoscopic partial resection of ampulla of uterine tube followed by salpingostomy (n = 58) or endoscopic salpingostomy alone (n = 124). After 3 months, all patients underwent a second-look laparoscopy combined with hydrotubation to evaluate the outcome and Fallopian tube patency. Semi-quantitative assessment of pelvic adhesions was carried out by calculation of peritoneal adhesion index, by revised American Fertility Society classification system (r-AFS), and by modified classification of pelvic adhesions after caesarean section. In 12 months, the final outcome was evaluated by means of restored fertility and according to hysterosalpingography. Results. In 3 months postoperation, patients who underwent partial resection of ampulla of uterine tube followed by salpingostomy were characterized by higher Fallopian tube patency, lower prevalence and severity of pelvic adhesions, and lower prevalence of persistent trophoblastic disease. Single salpingostomy also showed certain advantages such as lower time of surgery and better opportunities for repeated reconstructive operations. In 12 months, restored fertility was more prevalent in patients who underwent partial resection of ampulla of uterine tube followed by salpingostomy that was in keeping with higher Fallopian tube patency. Conclusion. Partial resection of ampulla of uterine tube followed by salpingostomy is an efficient alternative to salpingostomy alone and can be used in women with tubal pregnancy to increase their chances to restore fertility. |
| format | Article |
| id | doaj-art-79ee86f8ea8e464dbf33eb7070b0fbaa |
| institution | Kabale University |
| issn | 2500-0764 2542-0941 |
| language | Russian |
| publishDate | 2018-03-01 |
| publisher | Kemerovo State Medical University |
| record_format | Article |
| series | Фундаментальная и клиническая медицина |
| spelling | doaj-art-79ee86f8ea8e464dbf33eb7070b0fbaa2025-08-20T03:42:38ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412018-03-0131425078EFFICIENCY OF PARTIAL RESECTION OF AMPULLA OF UTERINE TUBE WITH THE FOLLOWING SALPINGOSTOMY IN PATIENTS WITH ECTOPIC PREGNANCY TO PRESERVE THEIR FERTILITYLARISA E. Fetischeva0VADIM G. Mozes1IGOR S. Zakharov2Regional Clinical Emergency HospitalKemerovo State Medical UniversityKemerovo State Medical UniversityAim. To evaluate the efficacy of partial resection of ampulla of uterine tube followed by salpingostomy compared to salpingostomy alone in patients with tubal pregnancy. Materials and Methods. We recruited 182 females with tubal pregnancy who were then randomized to undergo either endoscopic partial resection of ampulla of uterine tube followed by salpingostomy (n = 58) or endoscopic salpingostomy alone (n = 124). After 3 months, all patients underwent a second-look laparoscopy combined with hydrotubation to evaluate the outcome and Fallopian tube patency. Semi-quantitative assessment of pelvic adhesions was carried out by calculation of peritoneal adhesion index, by revised American Fertility Society classification system (r-AFS), and by modified classification of pelvic adhesions after caesarean section. In 12 months, the final outcome was evaluated by means of restored fertility and according to hysterosalpingography. Results. In 3 months postoperation, patients who underwent partial resection of ampulla of uterine tube followed by salpingostomy were characterized by higher Fallopian tube patency, lower prevalence and severity of pelvic adhesions, and lower prevalence of persistent trophoblastic disease. Single salpingostomy also showed certain advantages such as lower time of surgery and better opportunities for repeated reconstructive operations. In 12 months, restored fertility was more prevalent in patients who underwent partial resection of ampulla of uterine tube followed by salpingostomy that was in keeping with higher Fallopian tube patency. Conclusion. Partial resection of ampulla of uterine tube followed by salpingostomy is an efficient alternative to salpingostomy alone and can be used in women with tubal pregnancy to increase their chances to restore fertility.https://fcm.kemsmu.ru/jour/article/view/79внематочная беременностьсальпингостомиярезекция маточной трубынеостоматопластикаtubal pregnancysalpingostomyfallopian tube resection |
| spellingShingle | LARISA E. Fetischeva VADIM G. Mozes IGOR S. Zakharov EFFICIENCY OF PARTIAL RESECTION OF AMPULLA OF UTERINE TUBE WITH THE FOLLOWING SALPINGOSTOMY IN PATIENTS WITH ECTOPIC PREGNANCY TO PRESERVE THEIR FERTILITY Фундаментальная и клиническая медицина внематочная беременность сальпингостомия резекция маточной трубы неостоматопластика tubal pregnancy salpingostomy fallopian tube resection |
| title | EFFICIENCY OF PARTIAL RESECTION OF AMPULLA OF UTERINE TUBE WITH THE FOLLOWING SALPINGOSTOMY IN PATIENTS WITH ECTOPIC PREGNANCY TO PRESERVE THEIR FERTILITY |
| title_full | EFFICIENCY OF PARTIAL RESECTION OF AMPULLA OF UTERINE TUBE WITH THE FOLLOWING SALPINGOSTOMY IN PATIENTS WITH ECTOPIC PREGNANCY TO PRESERVE THEIR FERTILITY |
| title_fullStr | EFFICIENCY OF PARTIAL RESECTION OF AMPULLA OF UTERINE TUBE WITH THE FOLLOWING SALPINGOSTOMY IN PATIENTS WITH ECTOPIC PREGNANCY TO PRESERVE THEIR FERTILITY |
| title_full_unstemmed | EFFICIENCY OF PARTIAL RESECTION OF AMPULLA OF UTERINE TUBE WITH THE FOLLOWING SALPINGOSTOMY IN PATIENTS WITH ECTOPIC PREGNANCY TO PRESERVE THEIR FERTILITY |
| title_short | EFFICIENCY OF PARTIAL RESECTION OF AMPULLA OF UTERINE TUBE WITH THE FOLLOWING SALPINGOSTOMY IN PATIENTS WITH ECTOPIC PREGNANCY TO PRESERVE THEIR FERTILITY |
| title_sort | efficiency of partial resection of ampulla of uterine tube with the following salpingostomy in patients with ectopic pregnancy to preserve their fertility |
| topic | внематочная беременность сальпингостомия резекция маточной трубы неостоматопластика tubal pregnancy salpingostomy fallopian tube resection |
| url | https://fcm.kemsmu.ru/jour/article/view/79 |
| work_keys_str_mv | AT larisaefetischeva efficiencyofpartialresectionofampullaofuterinetubewiththefollowingsalpingostomyinpatientswithectopicpregnancytopreservetheirfertility AT vadimgmozes efficiencyofpartialresectionofampullaofuterinetubewiththefollowingsalpingostomyinpatientswithectopicpregnancytopreservetheirfertility AT igorszakharov efficiencyofpartialresectionofampullaofuterinetubewiththefollowingsalpingostomyinpatientswithectopicpregnancytopreservetheirfertility |