LAPAROSCOPIC FIMBRIOPLASTY AND NEOSALPINGOSTOMY IN FEMALE INFERTILITY: A REVIEW OF 402 CASES AT THE GYNECOLOGICAL ENDOSCOPIC SURGERY AND HUMAN REPRODUCTIVE TEACHING HOSPITAL IN YAOUNDE-CAMEROON

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KASIA JEAN MARIE; KEMFANG NGOWA JEAN DUPONT; MIMBOE YOLANDE SALOME; TOUKAM MICHEL; NGASSAM ANNY; NOA CLAUDE CYRILE; BELINGA ETIENNE; MEDOU ALEXIS

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Journal: Journal of Reproduction & Infertility Year:2016 | Volume:17 | Issue:2 Page(s): 104-109

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Title

LAPAROSCOPIC FIMBRIOPLASTY AND NEOSALPINGOSTOMY IN FEMALE INFERTILITY: A REVIEW OF 402 CASES AT THE GYNECOLOGICAL ENDOSCOPIC SURGERY AND HUMAN REPRODUCTIVE TEACHING HOSPITAL IN YAOUNDE-CAMEROON

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Keywords

ADNEXAL ADHESION

FIMBRIOPLASTY

INFERTILITY

LAPAROSCOPY

NEOSALPINGOSTOMY

TUBAL STAGE

Abstract

Background: More than 70 million couples suffer from INFERTILITY worldwide. The aim of this study was to evaluate the fertility outcomes after laparoscopic FIMBRIOPLASTY and NEOSALPINGOSTOMY in female INFERTILITY.Methods: Laparoscopic distal tuboplasty was carried out for 402 cases at the Gynecological Endoscopic Surgery and Human Reproductive Teaching Hospital in Yaounde- Cameroon in Central Africa from December 2002 to December 2007. Laparoscopic FIMBRIOPLASTY and NEOSALPINGOSTOMY were done using bipolar electrocoagulation and conventional endoscopic instruments. Log-rank test was used to compare cumulative rate curves of intrauterine pregnancy with respect to the TUBAL STAGEs. P<0.05 was considered statistically significant.Results: The mean age of the patients was 31.6±5.45 years. Secondary INFERTILITY was the most frequent type of INFERTILITY (70.14%). The laparoscopic tubal surgery done consisted of FIMBRIOPLASTY in 185(46%) cases and NEOSALPINGOSTOMY in 217 (54%) cases. Of 260 women followed up after tuboplasty, there were overall 74 (28.48%) pregnancies; 68(26.1%) intrauterine pregnancies and 6(2.3%) ectopic pregnancies. Pregnancy rates were significantly associated to the TUBAL STAGE (63% in stage 1, 15% in stage 3 and 00% in stage 4; p<0.001) and the ADNEXAL ADHESION scores (73.91% in the absence of ADNEXAL ADHESIONs and 8.8% in the case of a severe ADNEXAL ADHESION score). Of the 68 intrauterine pregnancies, there were 60(88%) live births and 8(12%) spontaneous abortions.Conclusion: It is believed that laparoscopic FIMBRIOPLASTY and NEOSALPINGOSTOMY should be the preferred choice when faced with tubal distal occlusion in a context of female INFERTILITY. This implies that training in endoscopic surgery should be regarded as an important issue in developing countries.

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APA: Copy

KASIA, JEAN MARIE, KEMFANG NGOWA, JEAN DUPONT, MIMBOE, YOLANDE SALOME, TOUKAM, MICHEL, NGASSAM, ANNY, NOA, CLAUDE CYRILE, BELINGA, ETIENNE, & MEDOU, ALEXIS. (2016). LAPAROSCOPIC FIMBRIOPLASTY AND NEOSALPINGOSTOMY IN FEMALE INFERTILITY: A REVIEW OF 402 CASES AT THE GYNECOLOGICAL ENDOSCOPIC SURGERY AND HUMAN REPRODUCTIVE TEACHING HOSPITAL IN YAOUNDE-CAMEROON. JOURNAL OF REPRODUCTION AND INFERTILITY, 17(2), 104-109. SID. https://sid.ir/paper/689264/en

Vancouver: Copy

KASIA JEAN MARIE, KEMFANG NGOWA JEAN DUPONT, MIMBOE YOLANDE SALOME, TOUKAM MICHEL, NGASSAM ANNY, NOA CLAUDE CYRILE, BELINGA ETIENNE, MEDOU ALEXIS. LAPAROSCOPIC FIMBRIOPLASTY AND NEOSALPINGOSTOMY IN FEMALE INFERTILITY: A REVIEW OF 402 CASES AT THE GYNECOLOGICAL ENDOSCOPIC SURGERY AND HUMAN REPRODUCTIVE TEACHING HOSPITAL IN YAOUNDE-CAMEROON. JOURNAL OF REPRODUCTION AND INFERTILITY[Internet]. 2016;17(2):104-109. Available from: https://sid.ir/paper/689264/en

IEEE: Copy

JEAN MARIE KASIA, JEAN DUPONT KEMFANG NGOWA, YOLANDE SALOME MIMBOE, MICHEL TOUKAM, ANNY NGASSAM, CLAUDE CYRILE NOA, ETIENNE BELINGA, and ALEXIS MEDOU, “LAPAROSCOPIC FIMBRIOPLASTY AND NEOSALPINGOSTOMY IN FEMALE INFERTILITY: A REVIEW OF 402 CASES AT THE GYNECOLOGICAL ENDOSCOPIC SURGERY AND HUMAN REPRODUCTIVE TEACHING HOSPITAL IN YAOUNDE-CAMEROON,” JOURNAL OF REPRODUCTION AND INFERTILITY, vol. 17, no. 2, pp. 104–109, 2016, [Online]. Available: https://sid.ir/paper/689264/en

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