| 词条 | Tuboplasty |
| 释义 |
| name = Tuboplasty | synonym = | image = | caption = | alt = | pronounce = | specialty = gynecology | synonyms = | ICD10 = | ICD9 = | ICD9unlinked = | CPT = | MeshID = | LOINC = | other_codes = | MedlinePlus = | eMedicine = }} Tuboplasty refers to a number of surgical operations that attempt to restore patency and functioning of the Fallopian tube(s) so that a pregnancy could be achieved. As tubal infertility is a common cause of infertility, tuboplasties were commonly performed prior to the development of effective in vitro fertilization (IVF). Or repair of any type of tube-like structure, including the Eustachian tube in the head & neck. TypesDifferent types of tuboplasty can be distinguished:.[1][2]
TechniquesAbove surgical procedures are performed through either a laparotomy or laparoscopy approach. Techniques include the use of microsurgery, laser, electrocautery, hydrodissection, mechanical dissection, and use of surgical stents, hoods, adhesions barriers, and more. Results depend on the underlying pathology and the skill of the surgeon. Pregnancy rates may range from 0-48% (Rock, 1985)[3] Ectopic pregnancy is a complication after a tuboplasty. It may require a salpingectomy (removal of a tube). HistorySchroder is credited to have performed the first tuboplasty when he created an ampullary cuff and thus reopened an occluded tube in 1884.[2] The first postoperative pregnancy was reported by Martin in 1891, however it aborted. For about a century tuboplastic procedures were the main approach to correct tubal infertility situations. With the development of IVF technology, IVF has increasingly supplanted tuboplasty as a treatment for tubal infertility. See also
References1. ^{{cite journal|vauthors=Kodaman PH, Arici A, Seli E | title=Evidence-based diagnosis and management of tubal factor infertility |journal=Current Opinion in Obstetrics and Gynecology |pmid=15129051| year=2004| volume=16| issue=3| pages=221–9| doi=10.1097/00001703-200406000-00004}} 2. ^1 {{cite book| author=Mattingly RF| title=Te Linde's Operative Gynecology| publisher=J. B. Lippincott Co., 5th Edition, 1977 |page=324ff |isbn=0-397-50375-X}} 3. ^{{cite journal |vauthors=Grisaru D, Lessing JB, Brazowski E, Botchan A, Daniell Y, Peyser RM |title=Mucocele formation 20 years after an appendiceal uterine transplantation for infertility mistaken for hydrops tubae profluens |journal=Human Reproduction vol.11 no.7 pp 1433-1434, 1996| pmid=8671481 |url=http://humrep.oxfordjournals.org/content/11/7/1433.full.pdf |volume=11 |issue=7 |date=Jul 1996 |pages=1433–4}} 1 : Gynecological surgery |
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