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KMID : 0350519960490010365
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Journal of Catholic Medical College
1996 Volume.49 No. 1 p.365 ~ p.373
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A Clinical Study for the Results of Microsurgical Tubal Anastomosis using Splint
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Abstract
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Many methods have been tried to raise the rate of success of tuboplasty. The purpose of tuboplasty is to maintain tubal patency, to prevent postoperative adhesion, and to prevent prevent abortion and tubal pregnancy for term delivery, Various
kinds
of
tubal splints have been used to maintain the tubal patency after tubal anastomosis of experimental animals and human.
Therefore, this investigation was performed to examine the clinical effectiveness of the Nylonsplint for women who had underwent various typesqr of tubal ligation and wanted tubal reversal.
For target of study, 110 splinted women among 285 women who had underwent the tubal reversal using splint at department of Obstetrics and gynecology in St. Mary's Hospital affiliated to Catholic university medical College from Mar. 1989 to Fed.
1995
were selected and could be traced more than one year.
They were assorted by tubal ligation method, tubal length after anastomosis, splint duration, menstrual phase at the time of operation age and postoperative hysterosalpingography.
In different way with other authors, after incising the skin of abdomen less than 5 cm, we exteriorized the uterus out of the abdominal cavity with uterine manipulator, then performed tuboplasty in cases of 110 splinted women.
@ES The results were as a follows;
@EN 1. The overall pregnant rate of 110 splinted women was 80.0% (88/110) ; Term pregnancy (50.9%), on going pregnancy (22.8%), spontaneous abortion (4.5%), ectopic pregnancy (1.8%).
2. The mean pregnancy rate and tubal length after anastomonsis of the women who had received the tubal ligation by ring (93.3%, 7.3±1.2cm) were statistically significantly higher and loger than that of the women by cauterization (69.2%,
5.1±1.3cm).
3. The most common site of anstomosis was isthmic-ampular portion (49.1%), and the postoperative tubal patency & pregnancy tate of isthmic-isthmc anastomosis were the highest rates (100%, 90%).
4. The mean tubal length after anastomosis of the pregnant group (6.6±1.5cm) was statistically significantly longer than that of non-pregnant group (4.4±1.6cm).
5. No statistical differences were found in pregnancy rates according to the time of splint removal (3 days or 7 days after operation).
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KEYWORD
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