The Fallopian Tube and Broad Ligament

Shahi, M; Amarosa, Emily J.; Crum, Christopher P.

doi:10.1016/b978-0-323-44732-4.00021-2

Cited by 2 publications

(1 citation statement)

References 141 publications

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“…8 Moreover, mullerian abnormalities and hydrosalpinx should be taken into consideration as they can have a negative impact on implantation rates. 9,10 cell density, dissociated maturation between the epithelium and stroma, and infiltration of endometrial stroma by plasma cells. 11 In most cases, women with CE are asymptomatic or display mild disturbances, such as abnormal uterine bleeding (AUB), dyspareunia, vague pelvic pain, and leukorrhea.…”

Section: Introductionmentioning

confidence: 99%

Chronic endometritis in cases with recurrent embryo implantation failure

Elsayed

Tappozada²,

Mansour³

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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Background: Chronic endometritis (CE) is a cause of recurrent implantation failure (RIF) in patients undergoing intracytoplasmic sperm injection (ICSI). CE is diagnosed based on the presence of plasma cell infiltration of the endometrial stroma in endometrial biopsies. Hysteroscopy may be suggestive of CE while the immunohistochemistry with specific cell markers for CD138 cells has been suggested as a more accurate test for the diagnosis of CE.Methods: This study included 110 patients with recurrent ICSI failure (two or more), despite using good-quality embryos. Hysteroscopy and endometrial biopsy were performed as an outpatient procedure. Immunostaining was then performed using a mouse monoclonal CD138 antibody. The prevalence rate of CE was calculated, and the correlation between hysteroscopic findings and immunohistochemical results was assessed. Results: In the included patients in this study there was 32 cases (29%) were diagnosed as CE by hysteroscopy, while 27 cases (24.5%) were positive by CD138 immunohistochemistry (IHC), and 18 cases (16.36%) were positive for CD138 IHC with hysteroscopic features of CE. The presence of more than one abnormal hysteroscopic features was considered positive for CE rather than single abnormal feature, the sensitivity, specificity, positive and negative predictive values of hysteroscopy would be 22.2%, 98.8%, 85.7%, and 79.6%, respectively.Conclusions: The negative diagnostic value of hysteroscopy is high, the combination of the two diagnostic modalities (hysteroscopy and CD138 IHC) will aid in the detection of most cases of CE.

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Section: Introductionmentioning

confidence: 99%

Chronic endometritis in cases with recurrent embryo implantation failure

Elsayed

Tappozada²,

Mansour³

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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Morphological differences in the isthmus and funnel of the fallopian tubes of women in young and old age

Balandina,

Snigireva,

Balandin

2024

Pediatr (SPb)

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Relevance. Scientific interest in age-related changes of the female organism is invariably increasing, which is caused, first of all, by the increase in life expectancy of modern man. In view of the fact that the lack of information about age morphology is extremely acute when working with older women, the need for its detailed study was the purpose of this work. Objective. Identification of patterns of age-related morphological changes in the isthmus and funnel of fallopian tubes of women giving birth in old age versus young age using sectional material. Materials and Methods. The study was performed on the sectional material of 70 women who had given birth and were divided into two groups: group I included 34 women of young age (22-35 years) and group II consisted of 36 elderly women (75-88 years). The external diameter of the isthmus and funnel of the fallopian tubes was determined. For histological examination, fallopian tubes fragments taken at autopsy were stained with Van Gieson picrofuchsin and hematoxylin and eosin. Results. There was a decrease in the external diameter of the isthmus and funnel of both fallopian tubes in women from young age to old age (p0.01). At old age, there was a predominance of external diameter parameters of the isthmus and funnel of the right fallopian tube in comparison with those of the left fallopian tube (p0.01), while at young age there was only a tendency for the diameter of the isthmus and funnel of the right fallopian tube to predominate (p0.05). The histological study showed the presence of thickened folds of the mucous membrane and flattened epithelium in the studied areas in older women, thinning of the muscular membrane layers and overgrowth of connective tissue in comparison with the samples taken for the study in younger women. Conclusions. Morphologic restructuring of the isthmus and funnel of the fallopian tubes from young to old age consists in thickening of the mucous membrane folds, flattening of the epithelium, overgrowth of connective tissue in the wall and reduction of their outer diameter with predominant parameters in the right fallopian tube.

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The Fallopian Tube and Broad Ligament

Cited by 2 publications

References 141 publications

Chronic endometritis in cases with recurrent embryo implantation failure

Chronic endometritis in cases with recurrent embryo implantation failure

Morphological differences in the isthmus and funnel of the fallopian tubes of women in young and old age

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