Abstract
The correct selection criteria for patients for either surgical revision of disturbances in tubal function or an IVF program will play an increasingly significant role in the future [2, 8–10]. Preoperative diagnostic hysterosalpingography and laparoscopy (to preclude a distal and proximal tubal occlusion respectively) ought to be performed on patients in whom occlusion of both tubes is suspected; they have an extremely poor prognosis as far as fertility subsequent to microsurgical intervention is concerned [3, 4]. If a double tubal occlusion is confirmed the patient is advised against surgical revision and in vitro fertilization is recommended. Considering the 20%–30% pregnancy rate after in vitro fertilization, tubal reconstruction is no longer performed when the following are present [7]:
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Chambered or thick-walled sactosalpinges
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Double tubal occlusions (proximal and distal)
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Re-sactosalpinges
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© 1992 Springer-Verlag Berlin Heidelberg
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Pollmann, D., Wallwiener, D., Sohn, C., Rimbach, S., Bastert, G. (1992). Tuboscopy. In: Bastert, G., Wallwiener, D. (eds) Lasers in Gynecology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45683-1_46
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DOI: https://doi.org/10.1007/978-3-642-45683-1_46
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