Primary microsurgery for postinflammatory tubal infertility

L. A. Jacobs, J. Thie, P. E. Patton, T. J. Williams

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Pelvic inflammatory disease is a common cause of tubal infertility. The pregnancy outcomes in 161 patients who underwent primary microsurgical tuboplasty for postinflammatory tubal disease at the Mayo Clinic from 1977 through 1981 were evaluated. The outcome (3-year rate) was evaluated for each category of microsurgical procedures. The proximal anastomosis group had a conception rate of 71% (50% live births, 30% spontaneous abortions, 6% ectopic pregnancies). The terminal salpingoneostomy group, which accounted for the largest number of procedures, had a conception rate of 47% (32% live births, 12% spontaneous abortions, 11% ectopic pregnancies). Even after microsurgical tubal reconstruction, most women do not achieve a live birth. Pregnancy outcome is probably related to several factors reflecting the severity of pre-existing intrinsic damage. Prognostic factors that may better predict pregnancy outcome are discussed.

Original languageEnglish (US)
Pages (from-to)855-859
Number of pages5
JournalFertility and sterility
Volume50
Issue number6
DOIs
StatePublished - Jan 1 1988

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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