State of uterine tubes atState of uterine tubes attubo-peritoneal infertility aftertubo-peritoneal infertility after

laparoscopic treatmentlaparoscopic treatment

MPISRL IAMSS OGASH BOARD CHAIRPERSONSMPISRL IAMSS OGASH BOARD CHAIRPERSONS

National Center National Center IAMSS OGASH. IAMSS OGASH. Georgia, Tbilisi.Georgia, Tbilisi.

Nino Datoshvili, Temur Gagnidze, Avtandil ChkheidzeNino Datoshvili, Temur Gagnidze, Avtandil Chkheidze

• 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

• 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.

• 2. On the first stage of investigation

of tubo-peritoneal infertility the sonosalpingography is

recommended to all patients.

3. After sonosalpingography, 3. After sonosalpingography, computed kymopertubation is computed kymopertubation is

necessary for patients with necessary for patients with diagnosis - tubo-peritoneal diagnosis - tubo-peritoneal

infertility to confirm or ignore infertility to confirm or ignore diagnosis of the above diagnosis of the above mentioned infertilitymentioned infertility

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.

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.

6. In case of undesirable outcome of operation, when computed kymopertubation confirms the uterine tubes

obstruction, “in vitro” fertilization must be suggested and

recommended. .

B  U  L  L  E  T  I  Nof

Intercontinental Academy ofMedical-Social Sciences (IAMSS)Laboratorial Medicine Standards

C o n s e n s u s