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ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"

2013, Number 4

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Acta Med Cent 2013; 7 (4)

Cirugía tubárica endoscópica: una alternativa para el manejo de la mujer infértil en Villa Clara

Álvarez MMC, Raimundo MD, Jiménez PS, Pentón CRJ, Cairo GVM

Language: Spanish
References: 15
Page:
PDF size: 62.82 Kb.


ABSTRACT

Introduction: The first attempts to look into a human cavity in a living person were made by Bozzini in Frankfurt in 1805. Objective: To describe the results of minimal access surgery in the treatment of infertile women. Methods: A descriptive retrospective study was conducted from 2000 to 2006. It included all the patients who were treated at the Minimal Access Surgery Department with a diagnosis of tubal and peritoneal factor disturbance. A review of the surgery reports was carried out and the data were recorded on a primary document for the study (observation guide). The study variables included the diagnosis, type of surgical procedure, tubal patency and pregnancy attainment. Chi-square test was used for a sample in the processing of information. The result of the statistics was significant if p‹0.05 with 95%. Information was summarized in tables. Results: In 133 patients, 40.9%, there was an involvement of the tubal and peritoneal factor. Salpingolysis was the most common procedure performed, with 77 patients for 23.7%. In 237 patients, postoperative tubal patency was achieved for 72.8%. A statistically significant relationship was observed between the surgical procedure and tubal patency X2=43.6 p=0.01; pregnancy was achieved in 194 of them for 81.8%. Conclusions: Endoscopic tubal surgery is a good choice, and with good results for the management of the infertile woman.


REFERENCES

  1. Howar W, Jones CH. Aspectos evolutivos de la cirugía reproductiva. En: Rock JA, Thompson JO. Telinde Ginecología Quirúrgica. 8va ed. Buenos Aires: Médica Panamericana; 1999. p. 461-69.

  2. Sabin A, Rodríguez J, Barrera P, Cordero M, Del Castillo E. Manual de cirugía por acceso mínimo en el niño. La Habana: Ciencias Médicas; 1999.

  3. Padrón Durán RS, Santana Pérez F. Infertilidad femenina. La Habana: Científico-Técnica; 2001.

  4. Guerrero CD, Royalo Jiménez J, Viramontes L. Rutina diagnóstica de la esterilidad femenina. Ginecol Obstet Mex [Internet]. 2010 [citado 12 Ago 2011]; 78(12):703-706. Disponible en: http://www.medigraphic.com/pdfs/ginobsmex/gom-2010/gom1012j.pdf

  5. Rojas Quintana P, Medina Tío DM, Torres Ajá L. Infertilidad. Medisur [Internet]. 2010 [citado 10 Abr 2011];9(4):703-706. Disponible en: http://www.medisur.sld.cu/index.php/medisur/article/view/1692/753

  6. Epidemiología de la infertilidad. En: Padrón Durán RS, Santana Pérez F. Infertilidad femenina. La Habana: Científico-Técnica; 2001. p. 11-17.

  7. Saavedra SJ. Papel de la laparoscopia diagnóstica en la evaluación de la infertilidad femenina. Rev Colomb Obstet Ginecol [Internet]. 2004 [citado 20 Mar 2012];55(1):71-80. Disponible en: http://www.scielo.org.co/scielo.php?pid=S0034-74342004000100009&script=sci_arttext

  8. Rodríguez BV, Santana F. Infecciones de transmisión sexual, calidad del semen e infertilidad. Rev Cubana Endocrinol [Internet]. 2008 [citado 5 Jul 2013];19(3):[aprox. 12 p.]. Disponible en: http://bvs.sld.cu/revistas/end/vol19_3_08/end07308.htm

  9. Romero Ramos R, Romero Gutiérrez G, Abortes Monroy I, Medina Sánchez HG. Factores de riesgo asociados con infertilidad femenina. Ginecol Obstet Mex [Internet]. 2008 [citado12 Ago 2011];76(12):717-21. Disponible en: http://www.medigraphic.com/pdfs/ginobsmex/gom-2008/gom0812d.pdf

  10. Safarinejad MR. Infertility among couples in a population-based study in Iran: prevalence and associated risk factors. Int J Androl [Internet]. 2008 [citado 2 Feb 2012]; 31(3):303-14. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/17488339

  11. Bunting L, Boivin J. Knowledge about infertility risk factors, fertility myths and illusory benefits of healthy habits in young people. Hum Reprod [Internet]. 2008 [citado 16 Jun 2011]; 23(8):1858-64. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/18469334

  12. Serpa I, Lima A, Lopéz C, Iglesias D, Legascue L, Osta M, et al. Factores de infertilidad en el ámbito público de la ciudad de Rosario. Reproducción: http://revista.samer.org.ar/numeros/2011/vol26_n1/7_original.pdf

  13. Sharma S, Mittal S, Aggarwal P. Management of infertility in low resource countries. BJOG [Internet]. 2009 [citado 28 Feb 2011]; 116 Suppl 1:77-83. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19740177

  14. Gomel V, McComb PF. Microsurgery for tubal infertility. J Reprod Med [Internet]. 2006 [citada 5 Jul 2013];51(3):177-84. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/16674012

  15. Mondragón-Cedeño AL. Prevalencia de causas de infertilidad en una clínica nivel II de Cali, Colombia. 2002-2004. Rev Colomb Obstet Ginecol [Internet]. 2008 [citado 2 Mar 2011];59(1):26-30. Disponible en: http://www.fecolsog.org/userfiles/file/revista/Revista_Vol59No1_Enero_Marzo_2008/v59n1a04.pdf




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