Surgical repair of abnormal fimbrial gonadal relationships in the human female.
A method of restoring normal fimbrial gonadal relationships by plication of the fimbria ovarica is described. Sixteen patients undergoing infertility operations had the procedures completed by plication of the fimbria ovarica. Twelve conceived, 1 aborted and 11 bore live infants. In another seven infertile patients, the only abnormality diagnosed was deranged fimbrial gonadal relationships due to elongation of the fimbria ovarica. These women were prospectively observed for a further 12 months, during which one of them conceived. The remaining six patients underwent laparotomy and plication of the fimbria ovarica. Five conceived, two aborted, and three live infants were delivered. It is suggested that the fimbria ovarica be evaluated and, if necessary, plicated before one completes any fertility operation. Not recognizing abnormal fimbrial-gonadal relationships may be a further explanation of the discrepancy between the rate of tubal patency and the lower incidence of pregnancy observed following operations for infertility.
D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000601:surgery; D008722:Methods; D010053:Ovary / Q000601:surgery*; D011247:Pregnancy