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Re: adhesiolysis for tubal diseaseFrom: steve (steve@dhngwe2.db.healthlink.org.za)Tue Aug 3 14:36:32 1999
Dr. John Teo asks
> I am interested to hear about the experience in adhesiolysis for tubal If the tubes are not blocked then there appears to be little reliable evidence that surgery is of benefit, but it is my practice to restore anatomy where possible. Because the success rate from tubal surgery is dependent on the original pathology it is impossible to predict accurately what the outcome of any surgical procedure should be. I think I can show some pregnancies post surgery for adhesiolysis, but whether they might have occurred anyway is hard to know. It seems likely that a patient who has not been able to conceive for two or more years, and who conceives soon after the surgery, has benefitted from the surgery. Why don't you do some of these cases and see what happens in your hands. This is probably your only option when IVF is unavailable as is my situation. Those who do get pregnant are very grateful and it is rewarding. But remember that overall success rates are probably only in the region of 35%.
-- Steve Raymond Head of O & G Empangeni Hospital SOUTH AFRICA
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