Adhesions: Laparoscopic Surgery versus Laparotomy

: This study was undertaken to assess the effectiveness in pregnancy rates of microsurgery and operative laparoscopy in adhesiolysis. Adhesions were found to be the sole infertility factor in 15% of our patients. One hundred and ninety infertile patients with periadnexal adhesions as the only cause...

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Bibliographic Details
Published in:Annals of the New York Academy of Sciences 2000-01, Vol.900 (1), p.272-285
Main Authors: MILINGOS, S., KALLIPOLITIS, G., LOUTRADIS, D., LIAPI, A., MAVROMMATIS, K., DRAKAKIS, P., TOURIKIS, J., CREATSAS, G., MICHALAS, S.
Format: Article
Language:English
Subjects:
Adult
Female
Humans
Infertility, Female - etiology
Laparoscopy
Laparotomy
Microsurgery
Peritoneal Diseases - complications
Peritoneal Diseases - surgery
Postoperative Complications
Pregnancy
Recurrence
Tissue Adhesions - surgery
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Summary:: This study was undertaken to assess the effectiveness in pregnancy rates of microsurgery and operative laparoscopy in adhesiolysis. Adhesions were found to be the sole infertility factor in 15% of our patients. One hundred and ninety infertile patients with periadnexal adhesions as the only cause of their infertility were treated by microsurgery (86) or operative laparoscopy (104) and were followed up for 24 months. Our results indicate that advanced laparoscopic surgery in general is as effective as microsurgery in healthy infertile patients with adhesions but offers some advantages in comparison to laparotomy. Factors that adversely affect the postoperative success rates are the age of the women, the duration of infertility, and the severity of the adhesions.
ISSN:0077-8923
1749-6632
DOI:10.1111/j.1749-6632.2000.tb06239.x