Medica Jadertina, Vol. 43 No. 1-2, 2013.
Professional paper
Pregnancy after bilateral fimbrioplasty: classic corrective operation on fallopian tubes in the era of laparoscopy progress and assisted reproductive techniques - case report
Nikica Živković
; Opća bolnica Šibenik, Odjel za ginekologiju i porodništvo
Krešimir Živković
; Klinički bolnički centar Zagreb
Petar Lozo
; Ginekološka poliklinika "Lozo"
Abstract
Tubal infertility factor as a cause of matrimonial sterility is encountered in practice in about 30 to 40% of cases. Since the results of assisted reproduction techniques are improving every day, microsurgical procedures on Fallopian tubes must be strictly indicated, even if such procedure is done by laparotomic surgery or laparoscopic approach. In this article, we present a case of fimbrioplasty in a 35-year-old woman, who was treated for secondary infertility 12 years ago. Also, we describe the pregnancy and delivery of this woman. The cause of infertility was bilateral distal tubal occlusion, confirmed by x-ray hysterosalpingography.
This patient started treatment within three years of secondary infertility diagnosis. Regular intrauterine pregnancy was achieved by first attempt, two months after bilateral fimbrioplasty. The course of
pregnancy and delivery were normal. The aim of this article is to assess technical achievements of gynecological surgery, during a 12-year time span, and also to analyze the results from today's perspective of classical corrective surgical procedures on the Fallopian tubes, compared to those that are now performed
by laparoscopic operative techniques.
Keywords
tubal occlusion; fimbrioplasty; microsurgery; assisted reproductive techniques; laparoscopic surgery
Hrčak ID:
100573
URI
Publication date:
23.4.2013.
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