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Assisted Reproductive Technology Versus Tubal Surgery

  • Chapter
Operative Gynecologic Endoscopy

Abstract

Significant advances in the field of human reproduction and reproductive surgery are responsible for a dramatic change in our approach to the infertile couple. Since the landmark report of Steptoe and Edwards in 1978,1 in vitro fertilization (IVF) and other assisted reproductive technologies (ARTs) have evolved to assume a preeminent role in the management of infertility. IVF was originally developed to treat infertile women with irreversible tubal damage. In time it became evident that most causes of infertility unresponsive to conventional therapy could be treated with the various forms of ART, including IVF with intrauterine embryo transfer, gamete and zygote intrafallopian transfer (GIFT and ZIFT, respectively), and the micromanipulation of gametes and embryos. Technologic advances such as transvaginal ultrasonography have made the current procedures much less invasive, decreasing the risks to patients.

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Benadiva, C.A., Kligman, I., Rosenwaks, Z. (1996). Assisted Reproductive Technology Versus Tubal Surgery. In: Sanfilippo, J.S., Levine, R.L. (eds) Operative Gynecologic Endoscopy. Clinical Perspectives in Obstetrics and Gynecology. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2330-6_20

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