title: [The outlook for gross hydrosalpinx].
abstract: Classically, the volume of a hydrosalpinx is taken as an essential factor in working out the prognosis of tubal operations carried out on this kind of lesion. This theory is contradicted following a study of a series of 62 patients who presented with greatly dilated ampullae. Firstly, the percentage of cases that were and could not be operated on during examination was no different in this group than in those where the hydrosalpinx was of a more usual volume. Secondly, at least 12 patients, which means 28 per cent of those who had tubal plastic surgery, had at least one intrauterine pregnancy. The percentage of those with tubal patency if also very satisfactory because it could be restored in more than three-quarters of the cases. Remarkably, in this series there was no ectopic pregnancy. It seems, therefore, that it is time to review the poor reputation of the large hydrosalpinx.
mesh_terms: D000291:Adnexal Diseases / Q000601:surgery; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology* / Q000601:surgery; D008722:Methods; D011247:Pregnancy; D011379:Prognosis
vernacular_title: L'avenir des gros hydrosalpinx.