난관 성형술의 최신 경향 = Recent Trend of Tubal Plastic Surgery

다국어 초록 (Multilingual Abstract)

Since the first corrective tubal surgery was performed by Schroder in 1884, many authors have reported new techniques and results concerning the surgical treatment of infertile tube. In recent reports by many authors, although operating techniques are similar, the term pregnancy rates vary in reported series from 10% to 75%, because it is very different by the operative kind and the site of tube. Laparascopy has become a prerequisite to toboplasty. During the last decade some progress has been made for the establishment and maintenance of tubal patency, the avoidance of postoperative adhesion, and the prevention of abortion and tubal pregnancy. Microsurgical techniques have doubled the term pregnancy rate(from 30 to 70%), while the incidence of ectopic gestation has been reduced in cases of previous sterilization. Maintenance of the patent tube after operation is a problem, and several procedures have been suggested. The trend has been to avoid intratubal devices, splints, or stents. Hoods are still utilized and their benifits are said to outweigh the disadvantage of the second laparatomy needed to remove them. Postoperative hydrotubation seems to be effective and various combinations of medication(using steroid and antihistamine) have been advocated.