Tubal surgery.
Today, reproductive surgery has a limited place. In selected cases such as young women with a history of pelvic inflammatory disease, pelvic adhesions, and endometriosis, surgery could be considered. Most operations can be performed by laparoscopy; these include tubal anastomosis that yields a high pregnancy rate. On the other hand, women over the age of 37 with a long history of infertility or those who require a laparotomy are better treated with in-vitro fertilization. For women with hydrosalpinx undergoing IVF, salpingectomy is the best treatment option. It increases the chance of pregnancy and live birth rates and decreases the miscarriage rate.
Zarei
Afsoon
A
Department of Obstetrics and Gynecology, McGill University, Pine Avenue West, Montreal, QC, Canada.
Al-Ghafri
Wadha
W
Tulandi
Togas
T
D004715:Endometriosis / Q000601:surgery; D004724:Endoscopy; D005184:Fallopian Tube Diseases / Q000601:surgery*; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D007247:Infertility, Female / Q000601:surgery; D008026:Ligation; D000292:Pelvic Inflammatory Disease / Q000601:surgery; D011247:Pregnancy; D018873:Pregnancy Rate; D013243:Sterilization Reversal