Endoscopic tubal surgery: an alternative for the management of infertile women in Villa Clara

Abstract

Introduction: the first attempts to look into a human cavity in a living person were made by Bozzini in Frankfurt in 1805. Objective: To describe the results of minimal access surgery in the treatment of infertile women. Material and methods: a descriptive retrospective study was conducted from 2000 to 2006. It included all the patients who were treated at the Minimal Access Surgery Department with a diagnosis of tubal and peritoneal factor disturbance. A review of the surgery reports was carried out and the data were recorded on a primary document for the study (observation guide). The study variables included the diagnosis, type of surgical procedure, tubal patency and pregnancy attainment. Chi-square test was used for a sample in the processing of information. The result of the statistics was significant if p<0.05 with 95%. Information was summarized in tables. Results: in 133 patients, 40.9%, there was an involvement of the tubal and peritoneal factor. Salpingolysis was the most common procedure performed, with 77 patients for 23.7%. In 237 patients, postoperative tubal patency was achieved for 72.8%. A statistically significant relationship was observed between the surgical procedure and tubal patency X2=43.6 p=0.01; pregnancy was achieved in 194 of them for 81.8%. Endoscopic tubal surgery is a good choice, and with good results for the management of the infertile woman.

Keywords

• cirugía tubárica endoscópica
• factor tuboperitoneal
• infertilidad