Tuboplasty--comparison of the methodology

A number of innovations have recently been made in the area of tubal surgery. This report summarizes our experience with these techniques. Microtechniques improved our results markedly with tubal anastomosis. Pregnancy rates were over 50% in reversal of fimbriectomy, but much lower with undilated tubes closed by inflammatory processes. Use of low molecular weight dextran was without benefit in improving pregnancy rates. Salpingolysis without steroids or hydrotubation resulted in a pregnancy rate of 69%.