Salpingostomy by microsurgery.
Salpingostomy for hydrosalpinx was carried out using a microsurgical technique. The postoperative patency rate was over 90%. Among the 41 patients followed for more than 1 year, 29% have had one or more intrauterine pregnancies and 27% have had live births. The ectopic gestation rate was 12%. All of the tubal gestations occurred in the 1st postoperative year whereas 60% of the intrauterine pregnancies occurred after the 1st year, suggesting a degree of restoration in the mucosa and the musculature of the oviduct with the re-establishment of patency and the passage of time.
D004598:Electrosurgery; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D005298:Fertility; D005500:Follow-Up Studies; D006801:Humans; D007047:Hysterosalpingography; D010535:Laparoscopy; D008866:Microsurgery / Q000379:methods*; D011183:Postoperative Complications / Q000175:diagnosis; D011247:Pregnancy; D011274:Pregnancy, Tubal; D013997:Time Factors; D000267:Tissue Adhesions