https://doi.org/10.4081/mem.1993.1069
Trattamento chirurgico della sterilità di origine tubarica
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Circa il 40% dei casi di sterilità femminile sono di origine tubo-peritoneale. Le cause principali di danno tubarico sono rappresentate da episodi di salpingite, pelviperitonite, pregressi interventi chirurgici ed endometriosi pelvica. L'affinamento delle tecniche microchirurgiche e l'introduzione della laparoscopia operativa, hanno permesso di migliorare le percentuali di gravidanze ottenibili in queste pazienti, diminuendo allo stesso tempo il "discomfort" per la paziente. L'introduzione della salpingoscopia ha inoltre permesso di individuare le pazienti che possono trarre beneficio da un intervento, evitando di operare le pazienti con danno irreversibile della mucosa tubarica. I risultati ottenibili con la microchirurgia e la laparoscopia operativa sono migliori di quelli ottenibili con la F.I.V.E.T., per cui queste tecniche rimangono la terapia di elezione di tale patologia.
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