Associated Factors with the Success Rate of Laparoscopic Surgery for Fallopian Tubal Occlusion in Vietnamese Infertile Women
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Thang Nguyen Manh 1 * , Thanh Pham Hai 2, Pau Loke Show 3, Nhon Bui Van 4, Hue Dao Thi 5, Linh Pham Thi 5
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1 Department Obstetrics and Gynecology, Hanoi Medical University, Hanoi, VIETNAM2 Institute of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, VIETNAM3 University of Nottingham Malaysia Campus, Jalan Broga, 43500, Semenyih, Selangor Darul Ehsan, MALAYSIA4 Department of Science and Technology, Hanoi Medical University, Hanoi, VIETNAM5 Department Obstetrics and Gynecology, Duc Giang Hospital, Hanoi, VIETNAM* Corresponding Author

Abstract

Background: Laparoscopic surgery for fallopian tubal occlusion (LSFFTO) could be an alternative method for tubal factor infertility. Here, we conducted this study to identify the factors associated with the success rate of LSFFTO in Vietnamese infertile women.
Methods: A cross-sectional study was conducted on infertile women (n=50). These patients were infertile due to distal tubal occlusions, and diagnosed via laparoscopic surgery (LS) with methylene blue administration. Both fallopian tubes (FT) were repaired and opened after LS. We used a self-developed tool to collect information from study subjects. The binary logistic regression method was used to find the associated factors with surgery outcome each side and both sides.
Results: Among 50 infertile women in the study, the percentage of opening status for FT was quite similar in both sides, 48% in left tube and 50% in right one. There were three factors associated with surgery outcomes in each side including secondary infertility, did not have tubal occlusion before LS, having history of miscarriage (induced abortions). For both tubes, there were 2 factors associated with the surgery outcomes: being no fallopian tubal occlusions before LS and having adhesions at the proximal part of Fallopian tube during the LS.
Conclusion: Our findings had highlighted the evidence of associated factors which affected LS in each side and both sides of fallopian tubes among Vietnamese infertile women.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

ELECTRON J GEN MED, Volume 18, Issue 4, August 2021, Article No: em298

https://doi.org/10.29333/ejgm/10868

Publication date: 01 May 2021

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