Description

Tubal diseases are one of the frequent causes of infertility. The most common predisposing factor is a pelvic inflammatory disease. Distal tubal obstruction has been managed previously by open surgery using a microsurgical technique. The pregnancy rate after reconstructive surgery is 20 to 30 percent two years postoperatively. Laparoscopy for tubal infertility has been a significant factor in reducing—costs, hospitalization, and recuperation. Recently, in women with severe tubal damage, in vitro fertilization (IVF) offers a better chance for term pregnancy (72.3%) compared to reconstructive surgery (27.3%). Fimbrioplasty and lysis of peritubular and periovarian adhesions have been associated with good pregnancy rates. In these patients, IVF is appropriate when pregnancy is not achieved postoperatively after a few years.