Abstract:
INTRODUCTION:Ectopic pregnancy (EP) is usually located in the Fallopian tube and it has a significant adverse effect on womens fertility Three types of EP treatment include: expectant, medical, and surgical radical (salpingectomy) or conservative (salpingotomy) management. OBJECTIVES:The aim of the study was to compare women's fertility after surgical radical or conservative treatment of tubal ectopic pregnancy MATERIALS AND METHODS:Out of the 58 patients operated because of tubal EP pregnancy 22 underwent laparoscopic salpingotomy (group 1) and 36 laparoscopic salpingectomy (group 2). EP-related data were obtained from medical documentation (the symptoms, diagnostic tests, EP risk factors, medical reproductive and surgical history clinical status during EP surgery). Follow-up data were collected by means of a telephone interview. The survey included questions focused on women's fertility during a 24-month period following the surgical treatment of EP (conception, subsequent intrauterine pregnancies and ectopic pregnancy). RESULTS:A 24-month follow-up period revealed that the cumulative intrauterine pregnancy rate was higher in group 1 (salpingotomy) as compared to group 2 (salpingectomy), i.e. 50% vs. 41.5%, respectively. Tubal EP returned in 13.6% cases (group 1) vs. 19.4% (group 2). All submitted results are statistically insignificant. CONCLUSIONS:Our findings are consistent with the literature which reports a trend of higher odds for intrauterine pregnancy after salpingotomy for surgical treatment of EP as compared to salpingectomy Moreover the risk for recurrent tubal EP is comparable for both methods. Regardless, the decision about the operating range in case of EP always depends on the actual clinical state of the patient.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Kostrzewa M,Zyła M,Litwińska E,Kolasa-Zwierzchowska D,Szpakowski A,Stachowiak G,Szpakowski M,Wilczyński JRdoi
10.17772/gp/1675subject
Has Abstractpub_date
2013-12-01 00:00:00pages
1030-5issue
12eissn
0017-0011issn
2543-6767journal_volume
84pub_type
杂志文章abstract:OBJECTIVES:Supplementary assays are needed for determination of relationships between sperm biomarkers and fertility potential. Therefore, our research was designed to determine the extent of sperm DNA fragmentation (SDF) and establish a discriminating threshold of SDF for fertility potential. MATERIAL AND METHODS:Sem...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2019.0117
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:The evaluation of sexual life after hysterectomy is still controversial. DESIGN:The aim of the study was to analyse the impact of hysterectomy on frequency and quality of the woman's sexual life. MATERIAL AND METHODS:The total of 539 women operated in II Department of Obstetrics and Gynecology in 1990-2000...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2003-07-01 00:00:00
abstract::The results of peritoneal cytology obtained during primary surgery for stage I ovarian cancer and "second look" operations was assessed. Positive peritoneal smears were found in 10.7% of patients, while neoplastic cells were present in peritoneal fluid in 32.5% of cases. Of 144 patients undergoing "second look" surger...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1997-02-01 00:00:00
abstract::We report an unusual case of adenomyosis with asymptomatic thoracic endometriosis. A 30-year old woman had a history of nephroblastoma, two missed abortions and one childbirth by caesarean section. The pregnancy was complicated with asymmetric fetus hipotrophy. Two years after delivery she had assessments for dysmenor...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::The aim of the work was the analysis of prenatal care in the region of Tarnobrzeg during the period 1976-1997, which was based on the statistical materials of the provincial outpatient department of Mother and Child in Tarnobrzeg. It was indicated that measuring of value factors of prenatal care on the basis of pregna...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract::To make use of antigonadotropin and antiproliferating action of the synthetic analogs of GnRH there was applied this decapeptide in 33 patients with ovarian cancer who were treated traditionally by chemotherapeutics PAC and radiotherapy. The monitoring of treatment was supported on the clinical opinion of the whole an...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract:OBJECTIVES:The success rate of methotrexate (MTX) therapy varies among tubal ectopic pregnancies. Common methylenetetrahydrofolate reductase (MTHFR) polymorphisms (C677T&A1298C) have been suggested to alter MTX effect. This study aimed to assess and compare MTX treatment failure rates with respect to MTHFR polymorphism...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.a2018.0091
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:The aim of our study was to determine the factors associated with higher incidence of trophoblastic tumours following complete hydatidiform mole. MATERIAL AND METHODS:Epidemiological and clinical factors were studied in eighty five patients with complete hydatidiform mole evacuated from 1973 to 1997 in Depa...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVES:I am presenting a new and personal method of surgical treating a uterovaginal prolapses using vaginal approach. MATERIAL AND METHODS:From 30th July to 30th November 2004, 12 patients between the ages of 40 and 83 years were operated on using the RFV method. The RFV Surgical Method is a new, inexpensive and ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2006-02-01 00:00:00
abstract::The knowledge of ovarian physiopathology and the employing of modern diagnostic methods (ultrasonography, laparoscopy) allow to avoid to operate patients with functional cysts. Girls and young women should be evaluated individually for ovarian surgical procedures. The operative treatment should be so conservative as p...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract:OBJECTIVES:The aim of the paper was to assess nasal and oral amniotic fluid flows, with the use of color ultrasound and spectral Doppler, in normal fetuses. MATERIAL AND METHODS:Forty-six fetuses of singleton gestations were studied prospectively. Spectrum imaging and maximal nasal fluid flow velocities were described...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.a2018.0054
更新日期:2018-01-01 00:00:00
abstract::Among 94 women with diagnosed "primary" gestosis during pregnancy, 67 patients demonstrated (3-6 months after delivery) chronic glomerulonephritis (25 women) or chronic pyelonephritis (28 women) or hypertension caused by others than nephrologic reasons. "Primary" gestosis was diagnosed correctly only in 29% cases. The...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract::Literature concerning the changes caused in lipids and protein metabolism in women using gestagen preparations for contraceptive purposes is surveyed. The level of metabolic changes was found to be related to the estrogen content of the preparation. Lipid metabolism changes are in the form of increases in the total ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1976-07-01 00:00:00
abstract::The study was carried out on 48 human placentas perfused in vitro. Betamethasone was administered into the arterial systems in the following single doses: 0.4 mg, 2 mg and 10 mg. The authors found a highly significant or statistically insignificant decreased glucose consumption after administering each dose of betamet...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1989-04-01 00:00:00
abstract::This paper attempts to assess the value of the dynamical examinations of the concentrations of the pituitary gonadotropin LH, FSH, PRL in the menstrual cycle. RIA were made on 22 sterile women with monophasic cycle and 119 sterile women with biphasic cycle in comparison with 17 women who delivered at least one child w...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract:OBJECTIVES:Due to hormonal changes during the menopause, women experience a variety of perimenopause and postmenopause symptoms. This review examines the various aspects of nanostructured hormone therapy and its application in the treatments of menopausal symptoms. MATERIAL AND METHODS:Excerpta Medica DataBase, Medica...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:10.5603/GP.a2017.0018
更新日期:2017-01-01 00:00:00
abstract::This case report describes a 40-year-old woman, primigravida. On 13,3 weeks of gestation we diagnosed an abnormal flow pattern in the umbilical artery and abnormal hyperechogenic structure in fetal abdomen. In next sonographic examination on 16 weeks of gestation we diagnosed ventriculomegaly and ahydramnion. We also ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2006-05-01 00:00:00
abstract::Fetal face is the key anatomical location, both psychologically and clinically for the mother and the clinician. Ultrasound prenatal examination of the maxillofacial region allows to evaluate the fetal face in the first weeks of gestation. In ambulatory intravaginal ultrasound, sensitivity of the facial defect detecti...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:10.17772/gp/1643
更新日期:2013-09-01 00:00:00
abstract::The HELLP syndrome is a variant of severe preeclampsia. Its leading symptoms are: hemolysis, increased liver enzymes and low platelet count. The treatment of the HELLP syndrome remains controversial as there are no standards of proven efficacy. The article presents a case of a 27- year-old patient, G1P0, 30 wk of gest...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2007-03-01 00:00:00
abstract::In this paper the fibronectin gene expression level (Northern blotting) in 33 endometrial samples (residua post abortum, endometrium proliferativum, secretivum and involutivum, hyperplasia glandularis endometrii, adenocarcinoma endometrii) was measured and compared. Higher level of fibronectin gene expression level in...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1995-08-01 00:00:00
abstract::The aim of the paper was to evaluate the anatomical state of uterine adnexa in women operated on due to mechanical infertility. Hydrotubation were previously applied in 31 women stemming from various centres in the country, while in 31 such a treatment was not performed at all. The mentioned groups of women were encum...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2012-03-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2003-10-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2005-03-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.17772/gp/1728
更新日期:2014-04-01 00:00:00
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journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:Clinical application of minimally invasive surgical techniques in gynecology continuous to increase steadily. Laparoscopic surgery has widely replaced open surgical technique in many routine cases. This method is obviously less traumatic and painful, requires a shorter hospital stay and recovery time. The aim...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2012-02-01 00:00:00
abstract::Among 64 women undergoing tubal-ovarian surgery 40.6% became pregnant spontaneously. Because of 47% of the remainder patients demonstrated anovulation the induction of ovulation was performed except the cases with hypergonadotrophic hypogonadism (9.4%). After treatment the total population with ovulatory cycles increa...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1993-12-01 00:00:00
abstract::Water is a substance essential for life. It creates the environment of our body, keeps it's homeostasis, enables every biochemical reaction and metabolic processes in human organism. Maternal hydratation is essential for homeostasis of two organisms and drinking water influences the amniotic fluid volume, fetal well-b...
journal_title:Ginekologia polska
pub_type: 指南,杂志文章,实务指引
doi:
更新日期:2009-07-01 00:00:00
abstract::The paper contains a review of the literature on the correlation between Chlamydia trachomatis infection and CIN as well as invasive cervical cancer. This infection is not only responsible for inflammation (very often occult) in the upper genital tract and PID but also is probably one of the causes of cervical hypertr...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2002-05-01 00:00:00