Reconstructive tubal microsurgery and assisted reproductive technology

For the infertile woman with tubal damage, there are only two realistic options for achieving a pregnancy: reconstructive surgery or in vitro fertilization (IVF). Until the 1980s, reconstructive surgery was the only therapeutic option for infertility caused by tubal and peritoneal factors. Traditional techniques yielded poor outcomes, often as a result of extensive postoperative adhesions. This led to the development of gynecologic microsurgery in the early 1970s. In addition to the use of magnification, microsurgery introduced a broad concept of surgery designed to be more precise, to minimize trauma and tissue damage, and to avoid an acute inflammatory reaction in the peritoneal cavity to obtain better results and prevent postoperative adhesions.

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Authors

Victor Gomel, M.D., F.R.C.S.C

Volume 105, Issue 4, Pages 887-890

Abstract

For the infertile woman with tubal damage, there are only two realistic options for achieving a pregnancy: reconstructive surgery or in vitro fertilization (IVF). Until the 1980s, reconstructive surgery was the only therapeutic option for infertility caused by tubal and peritoneal factors. Traditional techniques yielded poor outcomes, often as a result of extensive postoperative adhesions. This led to the development of gynecologic microsurgery in the early 1970s. In addition to the use of magnification, microsurgery introduced a broad concept of surgery designed to be more precise, to minimize trauma and tissue damage, and to avoid an acute inflammatory reaction in the peritoneal cavity to obtain better results and prevent postoperative adhesions.

Read the full text at: http://www.fertstert.org/article/S0015-0282(15)02218-9/fulltext


Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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