Recuperación de la fertilidad en una paciente estéril, mediante microcirugía de trompa uterina, y la aproximación al ovario contralateral

Authors

  • Efraín Aguagüiña González

DOI:

https://doi.org/10.29166/rfcmq.v43i2.2838

Keywords:

ectopic pregnancies, sterility, recanalization of uterine tubes

Abstract

For a successful pregnancy to occur, the integrity of the female genital tract is required, highlighting as important elements the uterine tubes (TU) that transport gametes and the fertilized egg into the uterine cavity. The disease of TU due to several causes, such as ectopic pregnancy, constitute 20% of infertility causes. Thanks to the development of assisted reproduction techniques (ART) such as in vitro fertilization (IVF), in a high percentage of patients who have permanent and severe damage to these structures, surgery to repair or recanalize the uterine tubes has been displaced by This assisted reproduction technique. Tubal reanastomosis has a success rate and natural pregnancies after surgery of 9% in women with severe tubal disease at 69% in cases of mild tubal disease. We present the case of a young patient diagnosed with post-surgical infertility due to a history of two previous injured ectopic pregnancies that affected both uterine tubes and left oophorectomy; After performing the micro-surgical procedure, he recovered the possibility of being a mother.

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Author Biography

Efraín Aguagüiña González

Instituto Quiteño de Infertilidad. IQUI. Quito, Ecuador

References

William S. Coculture and assited reproduction en Ledger WL. The fallopian tube in infertility. United

States of America: Cambridge University Press; 2010. pp 8-12.

Beckmann CR, Ling FW. Unexplained infertility en Charles RB, Beckmann FWL. Beckmann and

Ling´s Obstetrics and Gynecology. Philadelphia: Wolters Kluwer; 2019. pp 874-875.

Falcone JM. Tubal microsurgery en Sandlow JI. Microsurgery for fertility specialists: a practical text.

Milwaukee: Springer; 2013. pp 167-169.

Benadiva CA. In vitro fertilization versus tubal surgery: is pelvic reconstructive surgery obsolete?

Fertility and Sterility 1995; 64(6):1051–1061.

Kasia JM. Laparoscopic fimbrioplasty and neosalpingostomy in female infertility: a review of 402

cases at the gynecological endoscopic surgery and human reproductive teaching hospital in Yaoundé-Cameroon. J Reprod Infertil 2016; 17(2):104-9.

Tanaka Y. Renaissance of surgical recanalization for proximal fallopian: tubal occlusion: falloposcopic tuboplasty as a promising therapeutic option in tubal infertility. J Minim Invasive Gynecol 2011;

(5):651-9. doi: 10.1016/j.jmig.2011.06.014.

Myvanw L. Principles of open and laparoscopic surgery for tubal infertility en Ledger William L, Lin

Tan Sean. The fallopian tube in infertility and IVF practice. United States of America: Cambridge

University Press; 2010. Pp 84-85.

Gomel V. Reconstructive tubal surgery en Cundiff GW. Te Linde Surgical Gynaecology. Quebec:

Wolters Kluwer; 2015. pp 430-435.

Chu J. Salpingostomy in the treatment. Hum Reprod. 2015; 30(8):1882-95.

Schippert C. Reconstructive, organ-preserving microsurgery in tubal infertility: still an alternative to

in vitro fertilization. Fertil Steril 2010; 93(4):1359-61.

Ludwin A. Comparison of the ESHRE–ESGE and ASRM classifications of Müllerian duct anomalies

in everyday practice. Human Reproduction 2015; 30(3):1557–1561.

Zarei A. Tubal surgery. Clinical Obstetrics Gynecology 2009; 52(3):344–350.

Theron J. Gynaecological microsurgery. A review. CME VMO 1990; 8(2):175-183.

El-Chaar D. Risk of birth defects increased in pregnancies conceived by assisted human reproduction. Fertil Steril 2009; 92(5):1557-61.

Chua SJ, Akande VA. Surgery for tubal infertility. Cochrane Database Syst Rev. 2017 Jan 23;1:CD006415.

doi: 10.1002/14651858.CD006415.pub3.

Su Jen Chua V, Akande Valentine A, Willem J Mol. Surgery for tubal infertility. Cochrane Database Syst Rev. 2017 Jan; 2017(1): CD006415. Published online 2017 Jan 23. doi: 10.1002/14651858.

CD006415.pub3.

Ponomarev VV, Zhuyko AA, Artyushkov VV, Bashirov EV, Vengerenko ME. Our experience in laparoscopic treatment of tubo‐peritoneal infertility. Gynecological Surgery 2009; 6:S149‐50: 149–150.

Committee opinion: role of tubal surgery in the era of assisted reproductive technology. Fertil Steril

; 97(3):539-45. doi: 10.1016/j.fertnstert.2011.12.031.

Schippert C, Soergel P, Staboulidou I, Bassler C, Gagalick S, Hillemanns P, Buehler K, Garcia-Rocha

GJ. The risk of ectopic pregnancy following tubal reconstructive microsurgery and assisted reproductive technology procedures. Arch Gynecol Obstet 2012; 285(3):863-71.

Pandian Z. Surgery for tubal infertility. Cochrane Database of Systematic Reviews. 2008; p. Issue 3.

[DOI: 10.1002/

Published

2018-12-01

How to Cite

1.
Aguagüiña González E. Recuperación de la fertilidad en una paciente estéril, mediante microcirugía de trompa uterina, y la aproximación al ovario contralateral. Rev Fac Cien Med (Quito) [Internet]. 2018 Dec. 1 [cited 2024 Jul. 22];43(2):183-7. Available from: https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/2838