You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

Tubal Surgery

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

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

Author Information

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.