Intramural-isthmic fallopian tube anastomosis facilitated by the carbon dioxide laser.
Proximal tubal obstruction is encountered in 33% of women with tubal factor infertility. Traditional microsurgery and the most recent transcervical tuboplasty have achieved 20% to 30% intrauterine PR. Microdissection of the intramural segment of the fallopian tube with the CO2 laser, resection of the scarred tissue, and microsurgical tubal reanastomosis has resulted in 100% tubal patency and 71% intrauterine PRs.
Vilos
G A
GA
Lawson Research Institute, St. Joseph's Health Care Centre, London, Ontario, Canada.
D000328:Adult; D000714:Anastomosis, Surgical; D002245:Carbon Dioxide; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D053685:Laser Therapy; D011247:Pregnancy; D012086:Reoperation
D002245:Carbon Dioxide