Uncategorised - International Society for Reproductive Surgery

Bilateral hydrosalpinges – Salpingectomy or salpingoplasty?

Innermedia Ltd — Fri, 21 Oct 2022 13:10:08 +0000

There is now evidence that hydrosalpinx has a deleterious effect on fertility even if the mechanisms are still not completely clear. As suggested
by its name, hydrosalpinx occurs when the fallopian tube is blocked and is full of clear fluid, often as the result of infection or endometriosis. A hematosalpinx occurs when the tube is full of blood.
When both tubes are obliterated, infertility is obvious. When hydrosalpinx is unilateral, in theory pregnancy may be obtained but since the works of Strandell, it is now well known that the deleterious effect on hydrosalpinx on fertility is important.1 If in-vitro fertilization (IVF) is performed when hydrosalpinx is present the pregnancy rate decreases by a margin of almost 50%.

The post Bilateral hydrosalpinges – Salpingectomy or salpingoplasty? first appeared on International Society for Reproductive Surgery.

Symptoms and classification of uterine adenomyosis

Innermedia Ltd — Fri, 21 Oct 2022 12:21:48 +0000

Where histology used the presence of glands and/or stroma in the myometrium as pathognomonic for adenomyosis, imaging uses the appearance of the myometrium, the presence of striations, related to the presence of endometrial tissue within the myometrium, the presence of intramyometrial cystic structures and the size and asymmetry of the uterus to identify adenomyosis. Preliminary reports show a good correlation between the features detected by imaging and the histological findings. Symptoms associated with adenomyosis are abnormal uterine bleeding, pelvic pain (dysmenorrhea, chronic pelvic pain, dyspareunia), and impaired reproduction. However a high incidence of existing comorbidity like fibroids and endometriosis makes it difficult to attribute a specific pathognomonic symptom to adenomyosis.

The post Symptoms and classification of uterine adenomyosis first appeared on International Society for Reproductive Surgery.

Master Class on Reproductive Surgery Jing Guan M.D.

Innermedia Ltd — Mon, 01 Aug 2022 14:50:29 +0000

The International Society for Reproductive Surgery and Fallopian Tubes
Master Class on Reproductive Surgery
Jing Guan M.D.
Reproductive Medicine Centre
Peking University People’s Hospital, Beijing, China

As the liaison officer in China of the International Society for Reproductive Surgery and Fallopian Tubes (ISRSFT), I think I have the obligation to spread the ideas of Reproductive Surgery. So, with the support from ISRSFT, we opened up the Master Class on Reproductive Surgery between December 27-28 2019, in Peking University People’s Hospital, Beijing, China.

This master class consisted of two parts: live surgery and mini class. A total of 20 doctors who are passionate about reproductive surgery joined into this master class. On the first day, the live surgery focused on fallopian tube occlusions which mainly consisted of proximal, mid and distal occlusions on 4 different cases. For the proximal occlusion, we used catheterization as the main treatment and we had very good results in the previous cases. For the mid occlusion, we mainly used fallopian tube anastomosis, and the success rate was promising if the surgical details were not overlooked. For the distal occlusion, like the case presented in the live surgery: a 32 year old female patient with chocolate cyst. We did fertility sparing reproductive surgery for this patient, hopefully this patient could have her second child naturally in the future. Meanwhile, in the live surgeries, we normally need to demonstrate how to release the pelvic adhesions, so the audience were all amazed that they got chance to see the adhesion release! So, if we summarize the characteristics of our 4 carefully prepared patients that would be: local occlusion plus mild to severe pelvic adhesions.

The post Master Class on Reproductive Surgery Jing Guan M.D. first appeared on International Society for Reproductive Surgery.