Diagnosis and Management of Tubo-Uterine Factors in Infertility

Front Matter....Pages i-xxiii Front Matter....Pages 1-1 The impact of tubal surgery on early embryonic development in the rabbit oviduct....Pages 5-8 Transport of proteins and water out of an artificial hydrosalpinx in the rabbit....Pages 9-13 Ultrastructural changes of the mucosa in rabbit fallopian tube after reanastomosis....Pages 17-19 Quantitative morphometrical and histopathological study in rabbit oviducts following microsurgical treatment....Pages 21-26 Reanastomosis of rabbit oviducts with monofilament and polyfilament absorbable sutures — a histological study....Pages 27-30 Conventional sutures versus fibrin glue in microsurgical anastomosis of reproductive tissue....Pages 31-33 The tissue reaction to different kinds of suture material in the uterus and the oviduct of the rabbit....Pages 35-37 Prevention of adhesions and restoring patency during oviduct anastomosis in rabbits: microscope versus loupes....Pages 39-41 Inhibition of peritoneal adhesion formation by colchicine....Pages 43-46 Prevention of re-formation of pelvic adhesions by ‘barrier’ methods....Pages 47-50 Front Matter....Pages 51-51 Scanning electron microscopic studies on the changes of the oviduct due to ageing, menstrual cycle, pregnancy and inflammation....Pages 53-57 Chronic histological inflammation and Chlamydia trachomatis in women selected for tuboplasties....Pages 59-61 Specific IgG and IgA antibodies to Chlamydia trachomatis in infertile women....Pages 63-67 Tuberculosis of the female genital system....Pages 69-72 Resistant Ureaplasma urealyticum in infertile patients: a proposed method of treatment....Pages 73-76 Prevalence of Ureaplasma urealyticum in habitual spontaneous abortion....Pages 77-79 Front Matter....Pages 81-81 Aetiology of infertility in patients with endometriosis....Pages 85-86 Peritoneal fluid 6-keto prostaglandin F 1α levels in women with endometriosis....Pages 87-93 Decreased concentration of ovarian LH(hCG) receptor in polycystic ovarian disease and endometriosis....Pages 95-99 Autoimmune phenomena in infertile patients with endometriosis....Pages 101-102 Front Matter....Pages 81-81 Endoscopic cytopuncture in the diagnosis of intraovarian endometriosis....Pages 105-110 Objective assessment of medical treatment of endometriosis with gestrinone (R2323)....Pages 111-115 Treatment of infertility due to endometriosis with low-dosage danazol....Pages 117-121 Endometriosis associated with hyperprolactinaemia....Pages 123-126 A newly designed conservative surgery for advanced pelvic endometriosis....Pages 127-129 Surgical treatment of ovarian endometriosis....Pages 131-133 Front Matter....Pages 135-135 Laparoscopic findings in 801 sterile patients....Pages 139-142 Improved laparoscopic fertility testing....Pages 143-147 Combined endoscopic findings in 682 infertile women and 135 women requesting sterilization reversal....Pages 149-152 Diagnostic evaluation of hysterosalpingography in infertile patients....Pages 155-157 Endoscopy of the tube (tuboscopy): its prognostic value compared with hysterosalpingography....Pages 159-162 Comparison between uterotubal insufflation, hysterosalpingography and laparoscopy....Pages 163-166 Diagnostic laparoscopy in primary infertility....Pages 167-170 Laparoscopy in the investigation of subfertility....Pages 171-175 Laparoscopic findings in 375 women attending the Rotunda Hospital Infertility Clinic....Pages 177-180 Front Matter....Pages 181-181 Contraindications to tubal restorative surgery. Proposal for a dissuasive laparoscopic score....Pages 185-188 The cytology of tubal secretions for selection of salpingostomies by microsurgical technique....Pages 189-191 In vitro fertilization and embryo replacement in relation to tubal surgery for infertility....Pages 193-195 Psychological issues in mechanical infertility....Pages 197-199 Danazol as an ovulation inhibitor prior to tubal surgery....Pages 203-205 Front Matter....Pages 181-181 Temporary ovarian suspension for prevention of recurrent adhesions after salpingostomy....Pages 207-210 Pregnancies after terminal microsurgical tuboplasties with early laparoscopic control on the eighth day....Pages 211-214 Laparoscopic and hysteroscopic CO 2 laser procedures in infertility....Pages 215-218 Microsurgical technique for selective removal of tubocornual polyps....Pages 219-222 Therapy and long-term results after different operative procedures for extrauterine pregnancy....Pages 225-228 Emergency microsurgery....Pages 229-231 Pelvic microsurgery in an Irish context....Pages 233-234 Microsurgical restoration of tuboperitoneal infertility in 125 women....Pages 235-238 Front Matter....Pages 239-239 Hysteroscopy in infertility....Pages 241-246 Treatment of intrauterine adhesions....Pages 247-250 The place of metroplasty in the management of congenital uterine malformation....Pages 251-254 Psychosexual consequences of Vecchietti’s operation in Rockitansky-Küster-Hauser syndrome....Pages 255-258 Canalization of mucus in human fertility....Pages 259-267 Treatment of cervical mucus infection by means of doxycycline polyphosphate in 53 hypofertile women....Pages 269-272 Back Matter....Pages 273-278 This is the second compilation of papers given during the Related Communica tions Sessions of the XIth International Federation of Fertility Societies World Congress held on June 26th-July 1st 1983 at the Royal Dublin Society, Dublin, Ireland. Except for Part I, where results of animal experimentations are gathered together, the volume is concerned solely with studies in the human. The role of infection and endometriosis in the aetiology and treatment of the tubo uteroperitoneal factor in infertility are the concern of Parts II and III. Diagnostic and therapeutic aspects of tubal disease are covered in Parts IV and V and the book ends with Part VI, chapters on the uterus and vagina. Laparoscopy and microsurgical techniques have undoubtedly transformed the diagnostic and therapeutic outlook in this area of infertility. This book shows you how far such techniques have progressed and how much there is yet to do. Dublin, 1983 Robert F. Harrison lohnBonnar William Thompson xi List of Contributors 5. A.Z. BADAWY J. ABE Department of Obstetrics and Gynecology Department of Obstetrics and Gynecology Kyoto Prefectural University of Medicine Upstate Medical Center Kawarmachi-Hirokogi, Kamikyoku, Kyoto 750 E. Adams Street JAPAN 602 Syracuse, NY 13210 USA M. ALACHMAR "Marika Eliadi" Maternity Hospital 2 Helena Venizelos Square M. BERG Athens 115 21 Department of Clinical Sciences GREECE University of Tampere Teiskontie 35 W. ALBRICH SF-33520 Tampere Department of Obstetrics and Gynecology FINLAND University of Munich Marchioninistrasse D-8000 Munich 70 G