Surgical stage of infertility treatment: effectiveness, appropriateness, place and timing

Vostrikov V.V., Makarova E.A., Kuznetsova T.A., Zhuk T.V., Timchenko M.A.

1 Altai State Medical University of the Ministry of Health of Russia, Barnaul, Russia; 2 Siberian Institute of Reproduction and Human Genetics, Barnaul, Russia; 3 Clinical hospital “RZhD-Medicine”, Barnaul, Russia
Purpose of the study. To specify the role of surgical intervention for the diagnosis and treatment of infertility.
Materials and methods. A retrospective study of 1364 women aged 19 - 40 years who underwent the stage of surgical diagnosis and treatment of infertility in the period from January, 2010 to December, 2016.
Results. Surgical treatment of infertility facilitates the recovery of reproductive function, mainly at a young age with minimal changes in human pelvic morphology. In addition, the surgery can be considered as a preparatory stage in assisted reproductive technology (ART) programs. There is little possibility for surgical treatment of severe morphological changes in the reproductive organs.
Conclusion. Despite the diminishing role of reproductive surgery as the main method of infertility treatment, it continues to be important in the recovery of the fertility and improvement of the effectiveness of ART.

Keywords

reproductive surgery
conservative plastic surgery of the fallopian tubes
female infertility
assisted reproductive technologies
in vitro fertilization

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Received 29.01.2020

Accepted 07.02.2020

About the Authors

Vyacheslav V. Vostrikov, Cand. Med. Sci.; Associate Professor, Department of Obstetrics and Gynecology with Course of Advanced Professional Education,
Altai State Medical University, Ministry of Health of the Russian Federation. Tel.: +7(3852) 50-10-88; Mobile: +7 913-244-81-18.
E-mail: wkoctar@mail.ru; ORCID: 0000-0002-5567-2758. Address: 40, Lenin Prosp., Barnaul 656038, Altai Territory, Russian Federation.
Elena A. Markova, Cand. Med. Sci.; Associate Professor, Department of Obstetrics and Gynecology with Course of Advanced Professional Education,
Altai State Medical University, Ministry of Health of the Russian Federation. Tel.:+7 (3852) 20-12-63; Mobile: +7 903-992-56-02. E-mail: markelena2010@yandex.ru.
Address: 40, Lenin Prosp., Barnaul 656038, Altai Territory, Russian Federation.
Tatiana A. Kuznetsova, Cand. Med. Sci.; Associate Professor, Department of Obstetrics and Gynecology with Course of Advanced Professional Education,
Altai State Medical University, Ministry of Health of the Russian Federation. Address: 40, Lenin Prosp., Barnaul 656038, Altai Territory, Russian Federation.
Tel.: +7 (3852) 20-12-64; Mobile: +7 905-927-60-10.
Tamara V. Zhuk, Postgraduate Student, Department of Obstetrics and Gynecology with Course of Advanced Professional Education, Altai State Medical University,
Ministry of Health of the Russian Federation. Tel.: +7 (3852) 50-10-88; Mobile: +7 960-964-16-78. E-mail: tamara_zhuk13@mail.ru, ORCID: 0000-0001-5478-4582.
Address: 40, Lenin Prosp., Barnaul 656038, Altai Territory, Russian Federation.
Marina A. Timchenko, Head, Gynecology Unit, RZhD-Meditsina Clinical Hospital of the City of Barnaul. Tel.: +7 (3852) 20-12-64;
Mobile: +7 909-503-04-42. E-mail: timsch@yandex.ru.

For citation: Vostrikov V.V., Makarova E.A., Kuznetsova T.A., Zhuk T.V., Timchenko M.A. Surgical stage of infertility treatment: effectiveness, appropriateness, place and timing.
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2020; 4: 148-156. (In Russian).
https://dx.doi.org/10.18565/aig.2020.4.148-156

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