Treatment-dependent and treatment-independent pregnancy among women with periadnexal adhesions

Article Abstract:

Scar tissue (adhesions) in the area of the ovaries or fallopian tubes (periadnexal) is one cause of infertility in women. Half the patients receiving treatment for periadnexal adhesions are able to have successful pregnancies. Some studies have indicated that pregnancy is possible when the tubes are not totally blocked by scar tissue. The pregnancy rate was determined among women with similar adhesions with and without treatment. Adhesions were released during laparoscopy, the insertion of a tube through a small opening in the abdomen, in 69 women, while no treatment was offered to 78 women. The pregnancy rate in the treated group was 32 percent 12 months later and 45 percent 24 months later. The pregnancy rate in the nontreated group was 11 percent after 12 months and 16 percent after 24 months. Therefore, the rate of pregnancy improved after periadnexal adhesions were released. (Consumer Summary produced by Reliance Medical Information, Inc.)

Care and treatment, Abnormalities, Surgery, Fertility, Human, Human fertility, Infertility, Female, Female infertility, Adnexa uteri

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Excision of ovarian dermoid cyst by laparoscopy and by laparotomy

Article Abstract:

Removal of ovarian cysts by laparoscopy may be as effective and safe as removal by regular surgical techniques. Laparoscopy is a less invasive surgical technique using a small incision and small instruments which allow body contents to be seen. Researchers compared the operating time, postoperative hospitalization time, and complications of 29 women who underwent laparoscopy and 26 who underwent regular surgery to remove ovarian cysts. Laparoscopy took longer than regular surgery but recovery time was much shorter, at 0.7 days versus 3.8 hospital days. At least some of the fluid inside the cysts spilled out in all patients, but this did not seem to result in complications such as infection or adhesions. Small ovarian cysts are usually not malignant in women under 40, but they may become malignant over time.

Ovaries, Ovarian cysts, Laparoscopy

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Adhesion-related small-bowel obstruction after gynecologic operations

Article Abstract:

Hysterectomy appears to be the most frequent cause of small-bowel obstruction because of the formation of abdominal adhesions. Adhesions occur when scar tissue joins the surfaces of two organs that normally do not touch each other. If one of the organs is the intestine, this can cause obstruction. Examinations of 262 women with small-bowel obstruction revealed abdominal adhesions in 37%. Among these 92 women with adhesions, 38% had had a hysterectomy in the past. In some cases, small-bowel obstruction occurred years after the surgery.

Complications and side effects, Intestines, Hysterectomy, Intestinal obstruction

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