Treatment of hydrosalpinx using a single incision eversion procedure

Between January 1981 and December 1986, 93 patients underwent microsurgery for hydrosalpinx. A single incision was used to open the hydrosalpinx. The edges were rolled back and imbricated with 7-0 and 8-0 polyglactin sutures. A 94% patency rate was obtained, with an overall pregnancy rate of 53%. The full-term pregnancy rate was 40% in tubes with normal-appearing fimbria, and 28% in tubes with absent fimbria. The presence or absence of fimbria appeared to have the best predictive value for successful pregnancy following microsurgical treatment of distal tubal obstruction.