Early second-look laparoscopy following surgical sterility interventions with the CO2 laser

10 (48%) bilateral, 5 (24%) unilateral tubostomies, 1 (5%) unilateral and 1 (5%) bilateral fimbrioplastic were performed in 21 sterility patients. 21 female sterility patients underwent short-interval second-look-laparoscopy 8 days after reconstructive surgery (salpingostomy-10 bilateral/5 unilatera...

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Veröffentlicht in:Geburtshilfe und Frauenheilkunde 1987-10, Vol.47 (10), p.721-723
Hauptverfasser: Schieder, K, Kölbl, H, Dadak, C, Janisch, H
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creator Schieder, K
Kölbl, H
Dadak, C
Janisch, H
description 10 (48%) bilateral, 5 (24%) unilateral tubostomies, 1 (5%) unilateral and 1 (5%) bilateral fimbrioplastic were performed in 21 sterility patients. 21 female sterility patients underwent short-interval second-look-laparoscopy 8 days after reconstructive surgery (salpingostomy-10 bilateral/5 unilateral, fimbrioplasty-1 bilateral/1 unilateral, adhaesiolysis--16 bilateral/3 uni-lateral). The occurrence of postoperative adhesions was judged by the use of an adhesions-score. Compared to fertility surgery the initial median adhesion-score significantly decreased (p less than 0.0003--Wilcoxon Signed Ranks Test). A further reduction of the median adhesions-score could be achieved by short-interval-second-look-laparoscopy (p less than 0.0001). Within an observation time of 11 +/- 3.8 months one (5%) ectopic and 4 intrauterine pregnancies (19%) were found.
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The occurrence of postoperative adhesions was judged by the use of an adhesions-score. Compared to fertility surgery the initial median adhesion-score significantly decreased (p less than 0.0003--Wilcoxon Signed Ranks Test). A further reduction of the median adhesions-score could be achieved by short-interval-second-look-laparoscopy (p less than 0.0001). 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subjects Adult
Fallopian Tubes - pathology
Fallopian Tubes - surgery
Female
Follow-Up Studies
Humans
Infertility, Female - surgery
Laparoscopy
Laser Therapy
Postoperative Complications - pathology
Pregnancy
Pregnancy, Tubal - pathology
Reoperation
Tissue Adhesions
title Early second-look laparoscopy following surgical sterility interventions with the CO2 laser
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