Salpingoscopy during laparoscopy using a small-caliber hysteroscope introduced through an accessory trocar

Area of Science:

• Reproductive Medicine
• Minimally Invasive Surgery
• Gynecologic Endoscopy

Background:

• Tubal mucosa status is key for predicting outcomes in tubal infertility.
• Traditional salpingoscopy requires specialized, costly equipment, limiting its adoption.
• Laparoscopy is a common surgical approach for gynecologic conditions.

Purpose of the Study:

• To present a simplified, cost-effective salpingoscopy technique.
• To evaluate the feasibility and utility of this simplified method during laparoscopy.
• To assess the impact of this technique on managing tubal infertility.

Main Methods:

• Utilized a standard 2.9-mm hysteroscope and a 3.7-mm sheath via laparoscopy's accessory port.
• Performed simplified salpingoscopy in 13 patients with tubal infertility.
• Cannulated 24 tubes successfully, adding an average of 15 minutes to operative time.

Main Results:

• The simplified technique allowed successful tubal visualization in all cases.
• Intrauterine pregnancies occurred in 5 of 12 patients (42%) post-intervention.
• Surgical interventions like salpingoneostomy were guided by mucosal status.

Conclusions:

• This simplified salpingoscopy technique is effective and feasible during laparoscopy.
• It provides valuable prognostic data for patients with tubal infertility.
• The method enhances reproductive potential assessment and treatment planning.