State of uterine tubes at

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State of uterine tubes at tubo-peritoneal
infertility after laparoscopic treatment MPISRL
IAMSS OGASH BOARD CHAIRPERSONS National Center
IAMSS OGASH. Georgia, Tbilisi. Nino
Datoshvili, Temur Gagnidze, Avtandil Chkheidze
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• Practical
  recommendations
• 1. Stages of investigation and treatment of
  tubo-peritoneal infertility.
• 
  Sonosalpingography
• Uterine tubes obstruction
  Uterine tubes obstruction
  
  in ampullar part
  in isthmic part
• 
  
  Computed kymopertubation
• 
  on seduxen test
  background
• Diagnostic laparoscopy
  
• Tubes passable
  
  Interstitial obstruction
• Ampullar obstruction
  
  
  
• 
  
  In vitro program
• Laparoscopic plastics
• Control with computed kymopertubation
• Tubular passage is maintained
• 
  
  Obstruction
• 12 months observation
• Restored fertility
  
  No pregnancy

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• Note Computed kymopertubation
• means tubs functional condition. The
  kymopertubation is the type of examination, which
  is giving the prognoses of ectopic pregnancy and
  early pregnancy interruption.

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• 2. On the first stage of investigation
• of tubo-peritoneal infertility the
• sonosalpingography is recommended
• to all patients.

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3. After sonosalpingography, computed
kymopertubation is necessary for patients with
diagnosis - tubo-peritoneal infertility to
confirm or ignore diagnosis of the above
mentioned infertility
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4. In case of isthmic part obstruction, being
detected with the use of sonosalpingography,
computed kymopertubation must be carried out on
the seduxen test background.
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5. Laparoscopic investigation is necessary to
make the final diagnosis of tubo-peritoneal
infertility. In the process of laparoscopy,
corresponding plastic operations could be carried
out in parallel.
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6. In case of undesirable outcome of
operation, when computed kymopertubation confirms
the uterine tubes obstruction, in vitro
fertilization must be suggested and recommended.
.
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B  U  L  L  E  T  I  NofIntercontinental
Academy ofMedical-Social Sciences
(IAMSS)Laboratorial Medicine StandardsC o n s e
n s u s