Results of microsurgical reconstruction in patients with combined proximal and distal tubal occlusion: double obstruction

P. E. Patton, T. J. Williams, C. B. Coulam

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Thirty-one patients underwent microsurgery for correction of postinflammatory occlusion of both the proximal and the distal portions of the oviduct. Preoperative staging of tubo-ovarian adhesions, hydrosalpinges, and sites of oviductal occlusion was completed in each patient. Laparoscopic records were reviewed to correlate laparoscopic sites of occlusion with those found at the time of microsurgery. The conception rate at 2.5 years of observation was 12%, and there were no live births. The sensitivity of laparoscopy to predict proximal and distal disease was 65.6 and 55.2%, respectively. The poor surgical outcome in these patients suggests that IVF-ET should be strongly considered and that a careful preoperative laparoscopic examination is necessary for prospective counseling in these patients.

Original languageEnglish (US)
Pages (from-to)670-674
Number of pages5
JournalFertility and sterility
Volume48
Issue number4
DOIs
StatePublished - Jan 1 1987

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Fingerprint Dive into the research topics of 'Results of microsurgical reconstruction in patients with combined proximal and distal tubal occlusion: double obstruction'. Together they form a unique fingerprint.

  • Cite this