Editor (Mrs) SN Tripathy MD FICOG Ex-Professor and Head Department of Obstetrics and Gynecology SCB Medical College Cuttack, Odisha, India
7Contributors
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The Fallopian Tubes
First Edition: 2013
9789350904961
Printed at
5Dedicated to
My husband Dr Satchidananda Tripathy my friend, philosopher and guide
- Abha Rani Sinha dgo ms pgdmch
- Assistant Professor
- Department of Obstetrics and Gynecology
- Patna Medical College and Hospital
- Patna, Bihar, India
- Anjana Sinha dgo ms
- Assistant Professor
- Department of Obstetrics and Gynecology
- Patna Medical College and Hospital
- Patna, Bihar, India
- Arup Kumar Majhi md dnb ficog
- Professor
- Department of Obstetrics and Gynecology
- RG Kar Medical College
- Kolkata, West Bengal, India
- Banya Das
- Postgraduate Student
- Department of Obstetrics and Gynecology
- Veer Surendra Sai
- Medical College
- Burla, Odisha, India
- Bhagyalaxmi Nayak md ficog
- Associate Professor
- Department of Gynecologic Oncology
- Acharya Harihar Regional
- Cancer Center
- Cuttack, Odisha, India
- Bharathi Misra md ficog
- Professor
- Department of Obstetrics and Gynecology
- Maharaja Krishna Chandra Gajapati (MKCG) Medical College
- Berhampur, Odisha, India
- Gangadhar Sahoo md
- Professor and Head
- Department of Obstetrics and Gynecology
- Veer Surendra Sai Medical College
- Burla, Odisha, India
- Garima Gupta md
- Assistant Professor
- Department of Obstetrics and Gynecology
- Institute of Medical Sciences
- Banaras Hindu University (BHU)
- Varanasi, Uttar Pradesh, India
- Gaurav Pandey md dnb
- Consultant
- Pandey Nursing Home
- Patna, Bihar, India
- Joydev Mukherji md
- Head
- Department of Obstetrics and Gynecology
- RG Kar Medical College
- Kolkata, West Bengal, India
- Komal
- Postgraduate Student
- Department of Obstetrics and Gynecology
- Veer Surendra Sai
- Medical College
- Burla, Odisha, India
- Kusum Gopal Kapoor ms md ficog fics
- Ex-Professor and Head
- Department of Obstetrics and Gynecology
- Nalanda Medical College and Indira Gandhi Institute of Medical Sciences
- Ex-Chairperson
- Rural Obstetrics Committee, FOGSI Consultant
- Department of Obstetrics and Gynecology
- Gopal Nursing Home
- Patna, Bihar, India
- LK Pandey ms ficog
- Professor
- Department of Obstetrics and Gynecology
- Institute of Medical Sciences
- Banaras Hindu University (BHU)
- Varanasi, Uttar Pradesh, India
- Maya Padhi md
- Associate Professor
- Department of Obstetrics and Gynecology
- SCB Medical College
- Cuttack, Odisha, India
- Manoranjan Mahapatra md
- Assistant Professor
- Department of Gynecologic Oncology Acharya Harihar Regional Cancer Center Cuttack, Odisha, India
- Monika Anant md
- Regional Medical College and
- Clinical Tutor
- RG Kar Medical College
- Kolkata, West Bengal, India
- (Mrs) SN Tripathy md ficog
- Ex-Professor and Head
- Department of Obstetrics and Gynecology
- SCB Medical College
- Cuttack, Odisha, India
- Ojaswini Patel md
- Associate Professor
- Department of Obstetrics and Gynecology
- Veer Surendra Sai Medical College
- Burla, Odisha, India
- Rajat Ray md ficog
- Director
- Ray Ultrasound Center Infertility Clinic
- Odisha, India
- Saswati Sanyal Choudhury md ficog ficmch
- Associate Professor
- Department of Obstetrics and Gynecology
- Gauhati Medical College
- Guwahati, Assam, India
- Seema Pandey Chaudhary ms
- Consultant
- Pandey Nursing Home
- Patna, Bihar, India
- SK Giri md ficog
- Professor and Head
- Department of Gynecologic Oncology Acharya Harihar Regional Cancer Center
- Cuttack, Odisha, India
- SN Tripathy md fica fnccp
- Ex-Professor and Head
- Department of Obstetrics
- and Respiratory Medicine
- SCB Medical College
- Cuttack, Odisha, India
- Consultant
- Department of Obstetrics and
- Gynecology
- SCB Medical College
- Cuttack, Odisha, India
- Sujata Kar md
- Director
- Kar Clinic, Advanced Infertility and
- IVF Center
- Bhubaneswar, Odisha, India
- Sulekha Pandey ms
- Professor
- Department of Obstetrics and Gynecology
- Institute of Medical Sciences
- Banaras Hindu University (BHU)
- Varanasi, Uttar Pradesh, India
- Supriya Sharma ms dnb
- Consultant
- Pandey Nursing Home
- Patna, Bihar, India
- Sushma Pandey ms ficog fics
- Professor
- Department of Obstetrics and Gynecology
- Patna Medical College
- Consultant
- Pandey Nursing Home
- Patna, Bihar, India
- Tripti Sinha md mrcog
- Assistant Professor
- Department of Obstetrics and Gynecology
- Nalanda Medical College and
- Indira Gandhi Institute of
- Medical Sciences
- Patna, Bihar, India
I am very glad that The Uterus Manual, a book only about uterus is well-received by the scientific community. So, it is my great pleasure and privilege to present a second book only about another reproductive organ, The Fallopian Tubes. Today, there are many books in obstetrics and gynecology, of good quality. But to find a single organ in a single book is quite rare. Hence, this endeavor has always fascinated and intrigued me from the very beginning of my career. It is only an organ of passage but what a passage !!!, this 10 cm length of a tunnel through which the humanity exists, the humanity continues to eternity. This is the passage, where the ovum meets the boyfriend or girlfriend unites, forms an identity and travels, the first step undertaken in its journey till his or her death and demise. What a fantastic road!!!.
Our branch has changed very rapidly with recent advances and techniques. Many new investigative procedures and management protocols have came into existence which were not before, the practice is becoming more evidence-based and the guidelines are rapidly changing.
To get and beget is the basic human driving force. Hence, infertility is a problem of immense magnitude and out of the many causes of infertility, tubal factor infertility is a very delicate issue. Once we diagnose a damaged tube, we give the couple—a syndrome ‘the empty nest syndrome’ and a life of hopelessness.
The function of the fallopian tube is ovum pick-up, transportation of spermatozoa, fertilization, ovum and embryo transport, but still there are many gray areas. So many things about the tubes, we do not know. After more than half-century of clinical interest in female infertility, we are unable to assess accurately a single physiological function of the fallopian tube. Our clinical armamentarium is limited to appraisals of the patency of the tube to gas or liquid, and to examination of the external appearance and texture of the tube with regard to the ovum and embryo, we know little about the mechanisms of ovum transport, the importance of synchrony between the ovary and the tubes. With respect to the oviductal factor, we know very little about the critical length of residual oviduct required for function or which, if any, regions are critical to function. To answer few of the questions, the book focuses on the state-of-the-art aspects of fallopian tubes including reviews of normal, abnormal, physiologic, biochemical and molecular aspects of the organ. It explains the basic mechanism of inflammatory cell activities, to molecular biology to pathophysiology of different diseases affecting the organ, the therapeutic modalities adopted from time to time as science progresses, from ways of preventing the diseases affecting the organ and the optimum management.
The task of writing the book to ensure that it is up-to-date at publication, has been a taxing one, not for us only, but for our families too. But for me, it has been an educational experience during which time me and my contributors had an unusual opportunity of examining our clinical practices in the light of the published evidence.
I hope that the book will be helpful to postgraduate students, practicing obstetricians and gynecologists, who deal with the many patients who suffer from tubal diseases. My endeavor will be successful, if they are benefited from it. We hope the readers will find the book as helpful as we have found during writing while at the same time being spared the pain. I wish you all a happy and thorough reading.
(Mrs) SN Tripathy
11Acknowledgments
I am fortunate to have a galaxy of right persons who are known experts in the field of reproductive health to contribute chapters for the book. I am extremely grateful to the eminent personalities for spending a lot of their time and energy to fulfill my dream. For this, I am grateful and indebted to them though to just say ‘thank you’ really seems inadequate.
When you steal from one author, it is plagiarism, if you steal from many, it is research. Time and again, I have drawn inspiration from the workers of the bygone era, and umpteen times, I have utilized the work of various research workers. I am grateful to all of them. I am thankful to Dr Kishore Chandra Mahapatra and Professor Narayan Patel, for their generous hysterosalpingogram (HSG) photographs.
I am deeply indebted to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Mr Tarun Duneja (Director-Publishing), Mr KK Raman (Production Manager) and staff of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for publishing the book and for their excellent professionalism, and presentation of the book.
Last but not least, I am thankful to my husband, Professor Satchidananda Tripathy (SN Tripathy), for his positive constructive criticisms and for helping me through this endeavor, the time I have spent is his time.
(Mrs) SN Tripathy