[Microsurgical treatment of tuboperitoneal lesions. II. Results of the release of adhesions: apropos of 46 cases].
Between April 1978 and April 1983 46 patients were operated on for division of adhesions of a first and second degree according to the Madrid classification. They were operated on by laparotomy. 36 patients, which was 78.3%, had an on-going pregnancy and 3 had an extra-uterine pregnancy, which was 6.5%. We give three reasons to explain these results: antibiotic and anti-inflammatory treatment before the operation. This is important because of the high rate of infection and in particular chlamydia trachomatis. This is on-going in these patients. A technique for division of adhesions that was carried out according to a precise and stereotyped protocol used by all three operators. a follow-up of 43 out of these 46 patients that allowed them to be treated in the months following surgery to deal with other factors contributing to lowered fertility.
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D005184:Fallopian Tube Diseases / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D008866:Microsurgery / Q000379:methods*; D011182:Postoperative Care; D011247:Pregnancy; D011274:Pregnancy, Tubal; D011292:Premedication; D000267:Tissue Adhesions / Q000601:surgery
D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents
Traitement microchirurgical des lésions tubo-péritonéales. II. Résultats des adhésiolyses: à propos de 46 cas.