Related Experiment Videos
Laparoscopic treatment of hydrosalpinx: factors affecting pregnancy rate
S D Milingos1, G K Kallipolitis, D C Loutradis
1First Department of Obstetrics and Gynecology, University of Athens, Alexandra Maternity Hospital, Athens, Greece.
Study Objective:
To evaluate the efficacy of laparoscopic surgery in a series of women with hydrosalpinx.
Design:
Prospective, observational study (Canadian Task Force classification II-2). Setting. University-affiliated hospital.
Patients:
Sixty-one women undergoing bilateral neosalpingostomy and restoration of tubal ovarian anatomy laparoscopically, and followed for 24 months.
Intervention:
Video-controlled operative laparoscopy using standard four-puncture technique.
Measurements And Main 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.
Conclusion:
Operative laparoscopy seems to be an effective treatment for hydrosalpinx in terms of pregnancy outcome.