Institutional members access full text with Ovid®

Tubal Surgery

ZAREI, AFSOON MD; AL-GHAFRI, WADHA MD; TULANDI, TOGAS MD, MHCM

Clinical Obstetrics & Gynecology: September 2009 - Volume 52 - Issue 3 - pp 344-350
doi: 10.1097/GRF.0b013e3181b08b5f
Laparoscopic Surgery

Today, reproductive surgery has a limited place. In selected cases such as young women with a history of pelvic inflammatory disease, pelvic adhesions, and endometriosis, surgery could be considered. Most operations can be performed by laparoscopy; these include tubal anastomosis that yields a high pregnancy rate. On the other hand, women over the age of 37 with a long history of infertility or those who require a laparotomy are better treated with in-vitro fertilization. For women with hydrosalpinx undergoing IVF, salpingectomy is the best treatment option. It increases the chance of pregnancy and live birth rates and decreases the miscarriage rate.

Department of Obstetrics and Gynecology, McGill University, Montreal, QC, Canada

Correspondence: Togas Tulandi, MD, MHCM, Professor of Obstetrics and Gynecology, and Milton Leong Chair in Reproductive Medicine, McGill University, Pine Ave. West, Montreal, QC, H3A 1A1, Canada. E-mail: togas.tulandi@mcgill.ca

© 2009 Lippincott Williams & Wilkins, Inc.