The Medical and Surgical Practice of NaProTECHNOLOGY, 1001-1012, 2004

Chapter 73: PEARS for Extensive Pelvic Adhesive Disease

Thomas W Hilgers

Author affiliations
  • Pope Paul VI Institute for the Study of Human Reproduction, Omaha, Nebraska. ROR
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Abstract

Extensive pelvic adhesions — often the sequela of prior surgeries, infection, or undertreated endometriosis — distort tubo-ovarian relationships and impair fertility through mechanical obstruction and altered pelvic microenvironment. PEARS adhesiolysis principles emphasize meticulous sharp dissection, copious irrigation, and anti-adhesion adjuncts to restore normal anatomy and optimize postoperative fertility outcomes.

Topics

surgery for extensive pelvic adhesions and infertility, can blocked fallopian tubes from chlamydia be surgically repaired, PEARS surgery NaProTechnology pelvic adhesive disease, fimbrioplasty to restore tubal patency, adhesion prevention after pelvic surgery, second-look laparoscopy after adhesiolysis, obliterated cul-de-sac reconstruction, restoring tubal patency without IVF

Cite this article

Hilgers, T. W. (2004). Chapter 73: PEARS for Extensive Pelvic Adhesive Disease. *The Medical and Surgical Practice of NaProTECHNOLOGY*, 1001-1012.

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