Sylvie S Gordts

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OBJECTIVE To evaluate pregnancy rates after tubal microsurgical anastomosis. DESIGN Retrospective study. SETTING Private tertiary care center. PATIENT(S) Two hundred sixty-one women undergoing tubal microsurgical anastomosis. INTERVENTION(S) Tubal anastomoses were performed by minilaparotomy using microsurgical principles and approximating proximal(More)
While the appropriate method for the investigation of female infertility continues to be debated, the timing of the investigation has received less attention. The current approach is time-consuming, and paradoxically may lead to overtreatment as well as undertreatment. Recent findings on fecundity and the conception window in humans have important(More)
The incidence and severity of endometriosis in adolescent are comparable with the incidence in adult women. The mean delay between the onset of symptoms and the final diagnosis varies between 6.4 and 11.7 years. The longer the diagnosis is delayed, the more the endometriosis can progress to a more severe stage certainly in the group of patients with pelvic(More)
OBJECTIVE To evaluate the efficacy of transvaginal endoscopic ovarian capsule drilling. DESIGN Retrospective efficacy study. SETTING Private tertiary care center. PATIENT(S) Thirty-nine PCOS patients with previously failed ovulation induction; mean duration of infertility 26.5 months (SD +/-2.6); mean age 30.38 years (SD +/-3.8); mean body mass index(More)
BACKGROUND The success rate of in-vitro fertilisation (IVF) remains low and many women undergo multiple treatment cycles. A previous meta-analysis suggested hysteroscopy could improve outcomes in women who have had recurrent implantation failure; however, studies were of poor quality and a definitive randomised trial was needed. In the TROPHY trial we aimed(More)
Deep infiltrating endometriosis, which is frequently associated with pain, is diagnosed at clinical examination and with indirect imaging techniques like ultrasound and MRI. The aim of this study was to evaluate complications and recurrence rate after laparoscopic resection of deep infiltrating endometriosis by shaving technique. Between January 2004 and(More)
OBJECTIVE To evaluate in a prospective pilot study the feasibility of cytobrushing of the fimbrial end using a transvaginal endoscopic access. STUDY DESIGN Prospective feasibility study. The procedure was performed in a consecutive series of 15 infertile women referred for a transvaginal laparoscopy as part of their fertility investigation. Tubal cells(More)
In transvaginal hydrolaparoscopy (THL), access to the pelvis is gained through a needle-puncture technique of the pouch of Douglas with the patient in a dorsal lithotomy position [1, 2]. As distension medium, a continuous flow of pre-warmed solution of Ringer lactate is used during the entire procedure. The watery distension medium keeps the organs afloat.(More)
Reproductive performance is now more than ever determining the choice of treatment for each individual couple. The easy access to ART treatments, their financial benefits, and the relative high success rate per cycle are at the basis of a liberal referral to these treatments without an accurate diagnosis. The easy and comprehensive investigation by a(More)
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