Tubal surgery in the era of assisted reproductive technology: clinical options

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Posaci C., Camus M., Osmanagaoglu K., Devroey P.

HUMAN REPRODUCTION, cilt.14, ss.120-136, 1999 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 14
  • Basım Tarihi: 1999
  • Doi Numarası: 10.1093/humrep/14.suppl_1.120
  • Dergi Adı: HUMAN REPRODUCTION
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.120-136
  • Anahtar Kelimeler: female, laparoscopic surgery, microsurgery, surgical therapy, tubal infertility
  • Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
  • Dokuz Eylül Üniversitesi Adresli: Hayır

Özet

We reviewed the place of tubal surgery in the era of assisted reproductive technology. Reversal of tubal ligation is one of the main indications for tubal microsurgery, Adhesiolysis has the best results if the adhesion is the only factor responsible for infertility, There are no differences between adhesiolysis by laparoscopy or by laparotomy, and so laparoscopy must be preferred, Proximal tubal obstructions can be successfully treated by microsurgical tubocornual anastomosis. As far as distal tubal lesions are concerned, success rates depend strictly on the pre-existing tubal disease in distal tubal lesions and tubal surgery frequently fails; in-vitro fertilization (IVF) must therefore be considered in such circumstances. In conclusion, we think that IVF and tubal surgery must be considered to be complementary rather than competitive procedures, Adequate selection of patients is crucial to find the best therapeutic approach.