Surgical management of tubal disease and infertility

Abstract With the advance in assisted reproductive technology (ART), the role of reproductive surgery as the primary treatment of infertility has been questioned. Tubo-peritoneal factor is common, and accounts for 30–40% of female infertility. The pathology of tubal disease ranges from peritubal adh...

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Bibliographic Details
Published inObstetrics, gynaecology and reproductive medicine Vol. 25; no. 1; pp. 6 - 11
Main Authors Kong, Grace W.S, Li, T.C
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.01.2015
Subjects
Obstetrics and Gynecology
peritubal adhesion
reproductive surgery
sterilization
tubal disease
peritubal adhesion
reproductive surgery
tubal disease
sterilization
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Summary:Abstract With the advance in assisted reproductive technology (ART), the role of reproductive surgery as the primary treatment of infertility has been questioned. Tubo-peritoneal factor is common, and accounts for 30–40% of female infertility. The pathology of tubal disease ranges from peritubal adhesion, proximal and/or distal tubal blockage, hydrosalpinx to previous sterilization. In tubo-peritoneal infertility, reproductive surgery remains an important option and is complementary to ART. It should be considered as the first-line treatment if a good result is expected when the pathology is amendable or if untreated will adversely affect the results or increase the risks of ART. The success of reproductive surgery depends on careful patient selection using proper investigative tools, performed in units with expertise following microsurgical principles.
ISSN:1751-7214
1879-3622
DOI:10.1016/j.ogrm.2014.10.008