Pregnancies Following Tuboplasty 185 cases by Microsurgery

Keimyung Medical Journal 1988;7(1):120-127.

미세수술을 이용한 난관성형술 185예의 임신율에 관한 연구

이두룡; 이성운

Abstract

During 4years and 6months periods from August; 1983 through February 1988; 185 cases of microsurgical tuboplasties were performed and they have been followed up for 1 to 54 months postoperatively in the Department of Obstetrics and Gynecology; Keimyung University Hospital. Microsurgery was defined as the use of magnification; lavage; and atraumatic technique. The procedures performed were into five categories: Lysis of adhesions; tubal anastomosis; fimbrio-plasty; salpingostomy; and combined procedures. The results were as follows The over-all pregnancy rate was 33.5% among 185 patients underwent microsurgical tuboplasty. The pregnancy rate was 42.3% (3?/78) for those who underwent tubal anastomosis; 37.5% (3/8) for lysis of adhesions; 27.7% (23/83) for fimbrioplasty; and 42.9% (3/7) for combined procedures. Twenty-two pregnancies (35%) occured during the first 3 months; 38 pregnancies (61%) during the first 6 months; 54 pregnancies (87%) during the first 12 months; and all pregnancies during the first 36 months after surgery. The over-all term pregnancy rate was 22% among 185 patients underwent microsurgical tuboplasty. The term pregnancy rate was 25%(2/8) for those who underwent lysis of adhesions; 29.5% (23/78) among the tubal anastomosis group; 16.9% (14/83) among the fimbrioplasty group; and 28.6%(2/7) among patients treated with combined procedures. A1