[Convention surgical therapy of tubal sterility]

Rates of success after surgical treatment of tubal occlusions are limited by the etiologic factros of the female tubal sterility and by the operative techniques. The results of tuboplastic surgery have been improved during the last decade by critical preoperative selection of patients and subtile perioperative therapy. Nevertheless, rates of success are by no means satisfactory. Statistical evaluation of 5,056 cases reported in the literature shows an overall success rate of 26.5% intrauterine pregnancies with 19% live births. The classical surgical techniques are described. Preoperative examination and indications for the operations are discussed. Complementary surgical procedures may be helpful to prevent postoperative adhesions. Further improvement of tuboplastic surgery can be achieved by the introduction of microsurgery and endoscopic methods in the treatment of tubal sterility.