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					    State of uterine tubes at
 tubo-peritoneal infertility after
    laparoscopic treatment
  MPISRL IAMSS OGASH BOARD CHAIRPERSONS

                  National Center
                  IAMSS OGASH.
                  Georgia, Tbilisi.

Nino Datoshvili, Temur Gagnidze, Avtandil Chkheidze
•                           Practical recommendations
•   1. Stages of investigation and treatment of tubo-peritoneal infertility.
•                             Sonosalpingography


•   Uterine tubes obstruction                               Uterine tubes obstruction
    in ampullar part                                        in isthmic part
•
                                                           Computed kymopertubation
•                                                          on seduxen test background
•          Diagnostic laparoscopy
•



•      Tubes passable                                             Interstitial obstruction
•
              Ampullar obstruction
•                                                                 “In vitro” program
•
    Laparoscopic plastics
•
    Control with computed kymopertubation
•
    Tubular passage is maintained
•                                                                      Obstruction
•         12 months observation
•
           Restored fertility                                                   No pregnancy
• Note: Computed kymopertubation
means tubs functional condition.
  The kymopertubation is the type
  of examination, which is giving
  the prognoses of ectopic
  pregnancy and early pregnancy
  interruption.
• 2. On the first stage of
  investigation
of tubo-peritoneal infertility the
sonosalpingography is
  recommended
to all patients.
3. After sonosalpingography,
computed kymopertubation is
 necessary for patients with
  diagnosis - tubo-peritoneal
infertility to confirm or ignore
    diagnosis of the above
     mentioned infertility
  4. In case of isthmic part
obstruction, being detected
        with the use of
     sonosalpingography,
computed kymopertubation
must be carried out on the
 seduxen test background.
       5. Laparoscopic
investigation is necessary to
 make the final diagnosis of
tubo-peritoneal infertility. In
 the process of laparoscopy,
    corresponding plastic
 operations could be carried
        out in parallel.
   6. In case of undesirable
  outcome of operation, when
  computed kymopertubation
   confirms the uterine tubes
      obstruction, “in vitro”
fertilization must be suggested
 and recommended.             .
       B U L L E T I N
               of
  Intercontinental Academy of
Medical-Social Sciences (IAMSS)
Laboratorial Medicine Standards
        Consensus

				
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posted:2/25/2012
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