Laparoscopic treatment of hydrosalpinx: factors affecting pregnancy rate.
OBJECTIVE
To evaluate the efficacy of laparoscopic surgery in a series of women with hydrosalpinx.


METHODS
Prospective, observational study (Canadian Task Force classification II-2). Setting. University-affiliated hospital.


METHODS
Sixty-one women undergoing bilateral neosalpingostomy and restoration of tubal ovarian anatomy laparoscopically, and followed for 24 months.


METHODS
Video-controlled operative laparoscopy using standard four-puncture technique.


RESULTS
During 24-month follow-up, cumulative intrauterine pregnancy rates at 6-month intervals were 6.8%, 13.6%, 20.5%, and 20.5% for patients with only distal tubal obstruction and 12%, 23%, 29%, and 29% for those with mild degree of tubal disease and periadnexal adhesions. Miscarriage rate for intrauterine pregnancies was zero in both groups.


CONCLUSIONS
Operative laparoscopy seems to be an effective treatment for hydrosalpinx in terms of pregnancy outcome.
Milingos
S D
SD
First Department of Obstetrics and Gynecology, University of Athens, Alexandra Maternity Hospital, Athens, Greece.
Kallipolitis
G K
GK
Loutradis
D C
DC
Liapi
A G
AG
Hassan
E A
EA
Mavrommatis
C G
CG
Miaris
S G
SG
Michalas
S P
SP
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D011446:Prospective Studies; D012489:Salpingostomy; D014591:Uterine Diseases / Q000601:surgery*