Microsurgical correction of lateral-end block of the fallopian tube for infertile patients

ABSTRACT

The study included 50 infertile patients with lateral-end block of the fallopian tubes. Twenty three patients had primary and 27 had secondary infertility. A history of previous operation was present in 12 cases. Preoperative assessment included analysis, postcoital test, premenstrual endometrial biopsy, hysterosalpingography and laparoscopy in all patients and hormonal assay when necessary. Thirty-four percent of the cases were suffering from mild, 46% from moderate and 20% from severe pelvic inflammatory disease. Microsurgical correction of the obstruction was done including salpingo/ovariolysis, salpingo-neostomy and fimbrioplasty. Postoperative follow-up of the cases was done for a period varying between 18-36 months. Tubal patency rate among the whole group was 94%. The intrauterine pregnancy rate was 36% and the live birth rate was 24%. Ectopic pregnancy rate was 6%. The extent of the tubal lesion was found to be the significant prognostic factor affecting the result of surgery