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vol.67 número6RIESGOS OBSTETRICOS EN EL EMBARAZO ADOLESCENTE: ESTUDIO COMPARATIVO DE RESULTADOS OBSTETRICOS Y PERINATALES CON PACIENTES EMBARAZADAS ADULTASDIAGNOSTICO PRENATAL DE SITUS INVERSUS TOTALIS índice de autoresíndice de materiabúsqueda de artículos
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Revista chilena de obstetricia y ginecología

versión impresa ISSN 0048-766Xversión On-line ISSN 0717-7526

Resumen

DURRUTY V, Guillermo et al. RESULTADOS DE LA SALPINGONEOSTOMIA LAPAROSCOPICA EN INFERTILIDAD POR HIDROSALPINX. Rev. chil. obstet. ginecol. [online]. 2002, vol.67, n.6, pp.488-493. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262002000600010.

The aim of this retrospective study was to evaluate the spontaneous clinical pregnancy rates occurred after laparoscopic salpingoneostomy in 53 infertile patients with hydrosalpinx. The surgeries were performed between May 1994 and October 1998. The tubes were classified as having low, moderate or severe damage during surgery. Women had at least one patent tube after surgery, did not have IVF, and were followed-up for a minimum of one year. Eighteen patients became pregnant resulting in an overall clinical pregnancy rate of 33,9%. Of these, 17 were intrauterine (94.4%) and one ectopic (5.6%). Twelve pregnancies continued to term deliveries (22.6%), and 5/18 had spontaneous abortions. A significant lower pregnancy rate was obtained in the group with severe tubal damage. The average time for achieving pregnancy was 5.6 months (1-28). A considerable proportion of hydrosalpinges can be treated with laparoscopic salpingoneostomy, with good results. Nevertheless, if pregnancy is not achieved after 18 months post tubal repair, other treatments should be suggested.

Palabras clave : Laparoscopy; hydrosalpinx; salpingoneostomy; tubal disease.

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