Abstract
The aim of the present study was to demonstrate the usefulness of blocking ovulation before and after tubal plastic surgery. J. Henry-Suchetl, then Buttram2, have described the use of such a pre- and postoperative treatment for two reasons:
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(1)
The surgical act is facilitated: ovariolysis can be done in better conditions, in particular when adhesions are dense and extensive. Ovaries become small and hard with a reduced tendency to bleed.
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(2)
It prevents postoperative adhesion of the tube to a recent corpus luteum and reduces formation after ovarian surgery of new adhesions. This has been confirmed by a second-look laparoscopy on 8 days postoperatively and has been published earlier3. Oestroprogestagens or norethisterone could reach an equivalent result but the thromboembolic risk is unacceptable in surgery.
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References
Henry-Suchet, J. and Loffredo, V. (1981). Compared results between two series of terminal tuboplasties. In GAM Lausanne. p. 521. Revue médicale de la Suisse Romande.
Buttram, V. C., Belue, J. B. and Reiter, R. (1982). Interim report of a study of danazol for the treatment of endometriosis. Fertil. Steril., 37, 478
Henry-Suchet, J. and Loffredo, V. (1982). Techniques d’évaluation des résultats de la microchirurgie tubaire. In Cornier, E. (ed.) Techniques Microchirurgicales de la Stérilité. p. 169. ( Paris: Masson )
Chimbira, T.H., Cope, E., Anderson, B. M. and Bolton, F. G. (1979). The effect of danazol on menorrhagia, coagulation mechanism, haematological indices and body weight. Br. J. Obstet. Gynaecol., 86, 46
Rakoff, A. E. (1976). Side effects of danazol therapy. In Greenblatt, R. B. (eds.) Recent Advances in Endometriosis. pp. 108–15. ( Princeton, N.J.: Excerpta Medica )
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© 1984 MTP Press Limited
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Tesquier, L., Henry-Suchet, J., Loysel, T., Robert, Y., Loffredo, V. (1984). Danazol as an ovulation inhibitor prior to tubal surgery. In: Harrison, R.F., Bonnar, J., Thompson, W. (eds) Diagnosis and Management of Tubo-Uterine Factors in Infertility. Studies in Fertility and Sterility, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-7621-7_40
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DOI: https://doi.org/10.1007/978-94-011-7621-7_40
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-011-7623-1
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