Neverovatna je vaša potreba da uvek budete u pravu?!
Ni u jednom momentu nisam tvrdio da REPRODUKTIVNA HIRURGIJA zamenjuje IVF, metode su komplementarne, često reproduktivnom hirurgijom stvaramo uslove za IVF, potreban je realan odabir pacijentkinja,a naveo sam i kontraindikacije za primenu iste!
Moja tvrdnja je da lečenje steriliteta nije IVF!
University of Nebraska
Medical Center, Center for Continuing Education upravo organizuje kurs o rekonstruktivnoj hirurgiji tuba!
Pričam o laparaskopskim procedurama kojih godišnje lično izvedem na stotine, pa ću vas i taksativno podsetiti na šta konkretno mislim:
1: Basic Laparoscopy and minor procedures
Diagnostic laparoscopy
Needle aspiration of simple cyst
Ovarian biopsy
Surgical treatment of all mild endometriosis
Linear salpingotomy and/or salpingectomy for ectopic pregnancy
Laparoscopic uterosacral nerve ablation
2: Advanced procedures
Surgical treatment of moderate endometriosis
Neosalpingostomy
Salpingo-oophorectomy
Adhesiolysis for moderate bowel adhesions
Laparoscopic ovarian cystectomy
Laparoscopic electrosurgery for endometrioma
Level 3:
Myomectomy
Laroscopic tubal anastomosis
HYSTEROSCOPY
Level 1: Simple procedures
Diagnostic hysteroscopy with target biopsy
Removal of polyps
Removal of intrauterine contraceptive device (IUD)
Minor Asherman's syndrome
Removal of pedunculated fibroid or large polyp
Tubal canulation (including falloposcopy)
Level 2: More complex operative procedure
Division/resection of uterine septum
Endoscopic surgery for major Asherman's syndrome
Endometrial resection/ablation
Resection of submucous myoma
Repeat endometrial resection/ablation
A uskoro ću uvesti i faloposkopiju (tuboskopiju)
niste komentarisali fascinantan uspeh ove procedure, normalno u odabranim slučajevima.