Tubal and peritubal surgery without magnification: an analysis

From June, 1973, through August, 1977, thirty consecutive tubal or peritubal operations, exclusive of sterilization reversal procedures, were performed by Dr. Spadoni at the University Hospital in Seattle, Washington, without any form of magnification. Fifty-seven percent of the patients became pregnant, with a term pregnancy rate of 53%. There was a 30% abortion rate, but no ectopic pregnancies. Of those patients with distal tubal disease who became pregnant, 89% had postoperative hydrotubation, whereas of those who did not become pregnant, only 22% had postoperative hydrotubation. Some of the possible etiologic factors in the development of tubal and peritubal disease are discussed.