Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e3181b08b5f
Laparoscopic Surgery

Tubal Surgery

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

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Abstract

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.

© 2009 Lippincott Williams & Wilkins, Inc.

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