[Per-celioscopic surgery of the distal fallopian tube in infertility]

Twenty five patients who had distal tubal blocks were operated on laparoscopically between the months of November 1986 and April 1988. Eleven fimbrioplasties and 20 salpingostomies were carried out, 16 patients also had division of adhesions. Both tubes were operated on in 6 patients and only one in 19 patients. After 12 months the cumulative pregnancy rate was 28.4% overall composed of 40% for fimbrioplasties and 20% for salpingostomies. No pregnancy occurred more than 10 months after the operations. There was no inter or post operative complication. The results of this study and an analysis of the literature shows that laparoscopic operations are a worthwhile alternative to laparotomy in distal obstructions of the tubes that are not very severe. In severe stages however, it would seem better to carry out an assisted reproduction technique.