Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Microsurgical salpingostomy is not an obsolete procedure.

R M Winston1, R A Margara

  • 1Institute of Obstetrics and Gynaecology, Royal Postgraduate Medical School, Hammersmith Hospital, London.

British Journal of Obstetrics and Gynaecology
|July 1, 1991
PubMed
Summary

Microsurgery for bilateral tubal blockage offers successful pregnancy outcomes, particularly in early-stage tubal damage. Patient selection and surgical expertise are key to achieving better results than in vitro fertilization for selected cases.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The effects of sex steroid hormones and interleukin-1-beta on MUC1 expression in endometrial epithelial cell lines.

Reproduction (Cambridge, England)·2006
Same author

The expression pattern of MUC1 glycoforms and other biomarkers of endometrial receptivity in fertile and infertile women.

Molecular reproduction and development·2005
Same author

Sporadic Perrault syndrome.

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology·2004
Same author

Preimplantation genetic diagnosis: patients' experiences and attitudes.

Human reproduction (Oxford, England)·2002
Same author

Follicular growth in fresh and cryopreserved human ovarian cortical grafts transplanted to immunodeficient mice.

European journal of obstetrics, gynecology, and reproductive biology·2001
Same author

MUC 1: a genetic susceptibility to infertility?

Lancet (London, England)·2001

Area of Science:

  • Reproductive medicine
  • Microsurgery
  • Infertility treatment

Background:

  • Bilateral distal tubal blockage is a significant cause of female infertility.
  • Conventional treatments have shown limited success rates.
  • Microsurgery offers a potential alternative for restoring tubal patency.

Purpose of the Study:

  • To review the outcomes of microsurgery for bilateral distal tubal blockage.
  • To evaluate the relationship between tubal damage severity and pregnancy success.
  • To compare microsurgical salpingostomy with in vitro fertilization.

Main Methods:

  • Retrospective review of 388 patients with bilateral ampullary occlusion treated between 1971 and 1988.
  • Abdominal microsurgical salpingostomy following infertility investigations.

Related Experiment Videos

  • Follow-up included check laparoscopy one year post-surgery.

    • Main Results:

    • 74 women (23%) achieved a term pregnancy after primary salpingostomy; 12 (18%) after repeat salpingostomy.
    • Over half of women with a term pregnancy had a second infant.
    • Stage I tubal disease showed higher success rates (39% primary, 25% repeat salpingostomy).

    Conclusions:

    • Microsurgical salpingostomy is a specialized procedure requiring careful patient selection and skilled technique.
    • Adequate follow-up is crucial for successful outcomes.
    • In selected patients, microsurgical salpingostomy yields superior results compared to multiple in vitro fertilization cycles.