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[The relationship between intraperitoneal adhesion index and anatomical status of oviductal ampullary mucosa in patients with distal tubal occlusion].

OBJECTIVES
An effort was made to verify co-relation between intraperitoneal adhesions and anatomy of oviductal mucosa of infertile women with distal tubal occlusion.


MATERIALS AND METHODS
The study comprised 25 infertile women with distal tubal occlusion. The patients were allocated into 3 groups: A--11 women with the history of pelvic inflammatory disease (PID); B--9 patients with previous gynecological abdominal surgery; and C--5 women without PID nor surgery. Intraperitoneal adhesion index as well as oviductal mucosa were evaluated during laparoscopy and salpingoscopy.


RESULTS
Women with the history of PID presented strong co-relation between intraperitoneal adhesions and anatomical abnormalities of the tubal mucosa with distal tubal occlusion. The co-relation was stronger then in women with previous abdominal surgery. Following the evaluation of the fallopian tubes, 5 out of 11 patients with history of PID, 6 of 9 women with history of previous surgery and all 5 without any risk factors were qualified for microsurgical reconstructive treatment. The remaining patients were sent for in vitro fertilization and embryo transfer.