Is Reproductive Microsurgery Dead or Has Its Demise Been Greatly Exaggerated?

  • Victor Gomel
Part of the Reproductive Medicine for Clinicians book series (REMECL, volume 1)


The indications for reproductive surgery in the era of assisted reproductive technology (ART) are twofold: (1) primary treatment of tubo-ovarian disease, adhesions, and other pelvic pathologies to give the patient the opportunity to achieve spontaneous conception and (2) treatment of uterine, adnexal, and other conditions that would adversely affect the outcome of assisted reproduction.

Suggested Reading

  1. 1.
    American Society for Reproductive Medicine. ASRM 2012 committee opinion: role of tubal surgery in the era of assisted reproductive technology. Fertil Steril. 2012;97:539–45.CrossRefGoogle Scholar
  2. 2.
    Centers for Disease Control and Prevention. Assisted reproductive technology 2014 national summary report. Available at:
  3. 3.
    Kupka MS, Ferraretti AP, de Mouzon J, Erb K, d’Hooghe T, Castilla JA, et al. Assisted reproductive technology in Europe, 2010: results generated from European registers by ESHRE. Hum Reprod. 2014;29:2099–113.CrossRefGoogle Scholar
  4. 4.
    Gomel V. The place of reconstructive tubal surgery in the era of ART. Reprod Biomed Online. 2015;31:722–31.CrossRefGoogle Scholar
  5. 5.
    Gomel V. Reconstructive tubal microsurgery and assisted reproductive technology. Fertil Steril. 2016;105:887–90.CrossRefGoogle Scholar
  6. 6.
    Koninckx PR, Gomel V. Role of the peritoneal cavity in the prevention of postoperative adhesions, pain, and fatigue. Fertil Steril. 2016;106:998–1010.CrossRefGoogle Scholar
  7. 7.
    Koninckx PR, Gomel V. Introduction: quality of pelvic surgery and postoperative adhesions. Fertil Steril. 2016;106:991–3.CrossRefGoogle Scholar
  8. 8.
    Gomel V, Koninckx PR. Microsurgical principles and postoperative adhesions: lessons from the past. Fertil Steril. 2016;106:1025–31.CrossRefGoogle Scholar

Copyright information

© IAHR (International Academy of Human Reproduction) 2018

Authors and Affiliations

  • Victor Gomel
    • 1
  1. 1.Faculty of Medicine, Department of Obstetrics and GynecologyUniversity of British ColumbiaVancouverCanada

Personalised recommendations