Multicenter feasibility study of a new coaxial falloposcopy system

Surrey, Eric S.; Adamson, G. David; Nagel, Theodore C.; Malo, John W.; Surrey, M.; Jansen, Robert P.S.; Molloy, D. William

doi:10.1016/s1074-3804(05)80042-8

Cited by 14 publications

(6 citation statements)

References 15 publications

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“…14 Further studies revealed the importance of falloposcopy in performing tubal cannulation under laparoscopic guidance with both the coaxial and LEC falloposcopes and they achieved 80% success rate. 15 Technical difficulties existed with coaxial falloposcopes more than with LEC during the procedure and this could be attributed to ostial spasm secondary to attempted guidewire cannulation and inability to negotiate the whole tubal lumen in the absence of obstructive disease. These obstacles could be overcome by using smaller directional guidewire, softer distension-free Teflon catheters, improved microendoscopes and improved surgical skills necessary for a safe and fruitful falloposcopy.…”

Section: Results From Falloposcopymentioning

confidence: 99%

Role of Falloposcopy in the Management of Subfertility

Zainab¹

2012

WJOLS

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Aim:To review the technique and results of falloposcopy and compare it with the conventional methods used in the evaluation of tubal subfertility.Data source: Electronic library, SpringerLink, PubMed, Google, HighWire, eMedicine and materials from World Laparoscopy Hospital.Study selection: Studies involving the use of falloposcopy in assessing tubal status were reviewed and compared with conventional methods.Data synthesis: Falloposcopy gives an excellent assessment of tubal functional status accurately and provides treatment for minor tubal disease and sorts out patients who need IVF for early referral. Conclusion:There is no doubt, falloposcopy is a gold standard in assessing functional status of the fallopian tube accurately, provides treatment in selected cases and detects patients that needs IVF and refers them in good time but expertize and further training is required to make the procedure routine in the evaluation of subfertility.

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Section: Results From Falloposcopymentioning

confidence: 99%

Role of Falloposcopy in the Management of Subfertility

Zainab¹

2012

WJOLS

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“…Falloposcopic cannulation has been performed hysteroscopically under laparoscopic guidance by dilation [15] and coaxial catheters [38–41], and nonhysteroscopically with the LEC [34,42]. The results of the various endoscopic Fallopian tube recanalization procedures are presented in Table 2.…”

Section: Fallopian Tube Recanalization Techniquesmentioning

confidence: 99%

“…Falloposcopy offers the advantage of objectively classify the cause of PTO and demonstrating that isthmic plugs can cause reversible proximal PTO [11]. Comparing falloposcopy employing a new coaxial system with traditional laparoscopic chromotubation and HSG in a prospective, multicenter clinical trial at five tertiary infertility centers, Surrey et al concluded that falloposcopy with the new coaxial system allows improved visualization with less bulky and less traumatic instruments [39]. The system provides valuable information regarding the Fallopian tube lumen that correlates poorly with that obtained with more traditional techniques.…”

Section: Fallopian Tube Recanalization Techniquesmentioning

confidence: 99%

Fallopian Tube Recanalization: Lessons Learnt and Future Challenges

Allahbadia

Merchant

2010

Womens Health (Lond Engl)

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Technological advances in fiberoptics and endoscopy have resulted in the development of minimally invasive transcervical tubal catheterization procedures with the potential of improved diagnostic accuracy of tubal disease and transcervical treatment of proximal tubal obstruction (PTO) with reduced risks, costs and morbidity compared with surgical procedures. Fallopian tube recanalization can be performed with catheters, flexible atraumatic guidewires or balloon systems under endoscopic (falloposcopy/hysteroscopy/laparoscopy), sonographic, fluoroscopic or tactile guidance. Falloposcopy provides a unique possibility to accurately visualize and grade endotubal disease, characterize and document endotubal lesions, identify the segmental location of tubal pathology without complications, objectively classify the cause of PTO and guide future patient management. This is in contrast to the surgical and radiological gold standards, laparoscopy and hysterosalpingography, respectively, that are often associated with poor or misdiagnosis of PTO. Nonhysteroscopic transuterine falloposcopy using the linear eversion catheter is a successful, well-tolerated, outpatient technique with a good predictive value for future fertility. Hysteroscopic-falloposcopic-laparoscopic tubal aquadissection, guidewire cannulation, guidewire dilatation and direct balloon tubuloplasty may be used therapeutically to breakdown intraluminal adhesions or dilate a stenosis in normal or minimally diseased tubes with high patency and pregnancy rates. However, guidewire cannulation of proximally obstructed tubes yields much lower pregnancy rates compared with other catheter techniques, despite the high tubal patency rates. Laparo-hysteroscopic selective tubal catheterization with insufflation of oil-soluble radiopaque dye has been reported to be an effective treatment for infertility associated with endometriosis. The various disadvantages associated with fluoroscopic and sonographic techniques limit their application, despite the reportedly high patency and intrauterine pregnancy rates. Recanalization is contraindicated in florid infections and genital tuberculosis, obliterative fibrosis and long tubal obliterations that are difficult to bypass with the catheter, severe tubal damage, male subfertilitY and previously performed tubal surgery. Distal tubal obstruction is not amenable to catheter recanalization techniques. Tuberculosis, salpingitis isthmica nodosa, isthmic occlusion with club-changed terminal, ampullar or fimbrial occlusion, and tubal fibrosis have been cited as reasons for recanalization failure. In lieu of the poor pregnancy outcomes in patients with severe tubal disease and poor mucosal health following tubal recanalization, as well as poor available technical skills and results with microsurgery, in vitro fertilization and embryo transfer is a valid option in such women. Despite the high diagnostic and therapeutic power of falloposcopic interventions, technical shortcomings with falloposcopy must be overcome before the procedure gains wi...

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“…Dass aber auch fokale Läsionen bei der distalen Tubenpathologie prognostisch ungünstig sein können, belegen eine Studie von Heylen [25] 42], was die Anwendung in der klinischen Routine derzeit noch limitiert.…”

Section: Salpingoskopieunclassified

Invasive Diagnostik bei unerfülltem Kinderwunsch

Rimbach

2002

Gynäkologe

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Für die invasive Diagnostik bei unerfülltem Kinderwunsch steht ein ganzes Spektrum endoskopischer Verfahren zur Verfügung, das mittlerweile eine umfassende Visualisierung der beteiligten Genitalorgane erlaubt.Was die Pathologien des Uteruskavums anbelangt, ermöglicht die Hysteroskopie nicht nur eine differenzierte Diagnostik, sondern kann in vielen Fällen auch erfolgreich therapeutisch eingesetzt werden.Gleiches gilt für die Rolle der Laparoskopie in der Diagnostik und Therapie der Tubenpathologie. Hier kommt es im Hinblick auf die Indikationsstellung zu rekonstruktiv-chirurgischen Maßnahmen vs. In-vitro-Fertilisation auf eine differenzierte Bewertung unter zielgerichteter Einbeziehung prognostisch relevanter Information an.Dabei ergänzen sich die aus der Mikrochirurgie stammenden etablierten Kriterien und die zusätzlichen Informationen, die durch die modernen Verfahren der Endosalpinxdiagnostik erzielt werden.

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Multicenter feasibility study of a new coaxial falloposcopy system

Cited by 14 publications

References 15 publications

Role of Falloposcopy in the Management of Subfertility

Role of Falloposcopy in the Management of Subfertility

Fallopian Tube Recanalization: Lessons Learnt and Future Challenges

Invasive Diagnostik bei unerfülltem Kinderwunsch

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