ABSTRACT
The paper gives the outcomes of treatment in 4983 patients treated at the Gynecology Clinic of the Saint Petersburg Research Institute of Phthisiopulmonology in 1977 to 1999. Surgical interventions different in their scope were made in 949 (19%) females. Analyzing 526 females of them indicated that organ-saving operations were performed in most cases (80.2%). Indications for surgery and the time of preoperative etiotropic therapy were defined. Emphasis is laid on that the introduction of laparoscopy into practical phthiosiologic gynecology will solve many problems associated not only with a surgical appliance, but also with the diagnosis of genital tuberculosis.
Subject(s)
Tuberculosis, Female Genital/surgery , Female , HumansABSTRACT
The data on the results of surgical treatment of tubal infertility in 104 patients are presented. In 52 of these cases the operations were conducted according to a developed method with the use of microsurgical techniques. A modified plastic surgery of the ampullar-fimbrial part of the uterine tube made it possible to achieve a 13% increase in restoring the patency of the uterine tubes as well as a 9% improvement of childbearing function. The experiments on rabbit does led to a conclusion that with the ampullar-fimbrial part of the uterine tube cut off, the pregnancy was still possible, but to a lesser degree.