Diagnosis and Management of Tubo-Uterine Factors in by J. L. H. Evers, J. A. Land, R. Pijnenborg, W. D. Boeckx, I.

By J. L. H. Evers, J. A. Land, R. Pijnenborg, W. D. Boeckx, I. A. Brosens (auth.), Robert F. Harrison, John Bonnar, William Thompson (eds.)

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Table 1 Adhesion formation in rat uterine horns Approximation Group No microscopic adhesions Mild (microscopic adhesions only) Moderate adhesions (macroscopic hom) Severe (hom and adjacent structures) (n=28) Approximation + fibrin glue (n=28) 2 2 10 11 14 13 2 2 We did not find significant differences in adhesion formation between the approximated horns and the glued homes. The majority of the animals showed abnormal mucosal fold pattern at the anastomotic site in both uterine horns. The lumina were slightly constricted in both uterine horns.

Figure 2 Partial deciliation and shortening of ciliae (at the right) in a non-anastomosed oviduct 6 weeks after operation . Scanning electron micrograph, Xl0000 Irregular vesicles demonstrating an increase of secretory activity appeared in ciliated and secretory cells. DISCUSSION Measurable pathological lesions in rabbit oviducts adjacent to an anastomose as well as on the contralateral side were found in contrast to results of Bemhardt-Huth3 • The extent of these alterations, for example thickening of the muscularis, was nearly the same on both sides.

1980). Postoperative adhesions: Etiology, prevention and therapy. Clin. Obstet. , 23, 1213 2. Seitz, H. , Schenker, J. , Epstein, S. and Garcia, C. R. (1973). Postoperative intraperitoneal adhesions: A double-blind assessment of their prevention in the monkey. Fertil. , 24, 935 3. Kubanyi, A. (1947). Prevention of peritoneal adhesions by transplantation of amnion. Br. Med. , 2,55 4. , H. and Granberg, 1. (1978). Surgicel - an absorbable hemostatic material in prevention of peritoneal adhesions in rats.

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