Role of laparoscopic salpingostomy in the treatment of hydrosalpinx

A New Technique of Laparoscopic Ovarian Suspension with Microsuture for Adhesion Prevention in Patients Undergoing Fertility Enhancing Surgery

“…We have reported previously the use of a 3 mm diameter knot pusher that facilitates the use of light weight (6-0, 7-0 suture) and thus allows the principles of microsurgery to be applied at laparoscopy [9]. We have also confirmed that this weight of microsuture does not provoke adhesion formation at laparoscopy [10].…”

The Significance of Laparoscopy in Determining the Optimal Management Plan for Infertile Patients with Suspected Tubal Pathology Revealed by Hysterosalpingography

“…The pregnancy rates after adhesiolysis for peritubal adhesions were 75% in mild adhesions and 33% in severe adhesions (Carey et al 1987). The intrauterine pregnancy rate after salpingostomy for hydrosalpinx was 0~44% (Taylor et al 2001). In cases that include over half normal tubal mucosa without adhesions, size of hydrosalpinx < 1 cm, and thin thickness of the fallopian tubal wall, salpingostomy will allow postoperative spontaneous pregnancy (Vasquez et al 1995).…”

Ectopic Pregnancy Following Reconstructive, Organ-Preserving Microsurgery in Tubal Infertility

“…The risk for EP and the chances for an intrauterine ongoing pregnancy following tubal reconstructive surgery, respectively, vary widely depending on the type, location and severity of the tubal disease and the performed surgical procedure. The ectopic rate for mild aquired tubal disease is reported to be 1%-10% (Boer-Meisel et al, 1986;Winston & Margara, 1991;Nackley& Muasher, 1998) and for reversal of sterilization less than 10% (Practice Committee of American Society for Reproductive Medicine, 2008), but in contrast, EP rates increase up to 40% in the presence of intrinsic tubal damage, salpingitis isthmica nodosa and severe tubal pathology (Taylor et al, 2001;Posaci et al, 1999;Pandian et al, 2008;Marana & Quagliarello, 1988a, 1988bAkande et al, 2004, Mosgaard et al, 1996. For this reason, patients with dense adhesions like frozen pelvis and a severe tubal pathology are best referred to IVF (Schippert et al, 2010).…”

“…The ectopic rate for mild disease is reported to be 1%-10% (Boer-Meisel et al, 1986;Winston & Margara, 1991;Nackley & Muasher, 1998), in contrast, EP rates can increase up to 20% to 40% in the presence of intrinsic tubal damage, salpingitis isthmica nodosa and severe tubal pathology (Posaci et al, 1999;Taylor et al, 2001;Pandian et al, 2008).…”