Laparoscopic balloon neosalpingostomy and fimbrioplasty in cases of distal tubal occlusion

ABSTRACT

The objective of this study was to evaluate the technique of balloon catheterization of the fallopian tube after either laparoscopic neosalpingostomy or fimbrioplasty in cases of distal tubal occlusion and compare the results with those of laparoscopic neosalpingostomy or fimbrioplasty alone. In this work, 100 women with distal tubal occlusion were scheduled for either laparoscopic neosalpingostomy [52 cases] or fimbrioplasty [48 cases]. Balloon catheterization of the Fallopian tube using transluminal angioplasty catheter was done for 23 patients after laparoscopic neosalpingostomy and 27 patients after laparoscopic fimbrioplasty. Three out of 29 patients who underwent laparoscopic neosalpingostomy alone achieved intrauterine pregnancy and one patient proved to have tubal pregnancy. Among 23 patients who underwent laparoscopic neosalpingostomy with balloon catheterization of the Fallopian tube, six patients achieved intrauterine pregnancy. The difference was statistically significant and a positive tubal potency after laparoscopic neosalpingostomy with catheterization of the Fallopian tube was significantly more than that after laparoscopic neosalpingostomy, alone [86.9% versus 72.4%, respectively]. In conclusion, the technique of laparoscopic neosalpingostomy with balloon catheterization of the fallopian tube may lead to better results than that after laparoscopic neosalpingostomy alone as regards the pregnancy rate and postoperative tubal patency