Current controversies in tubal disease, endometriosis, and pelvic adhesion

Reproductive surgery for tubal infertility and the treatment of endometriosis and adenomyosis is reviewed as well as the current understanding of adhesion pathogenesis and the limited options for prevention.
Current controversies in tubal disease, endometriosis, and pelvic adhesion
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Volume 112, Issue 3, Pages 417–425

Authors:

Jeffrey M. Goldberg, M.D., Tommaso Falcone, M.D., Michael P. Diamond, M.D.

Abstract:

Reproductive surgery for proximal and distal tubal occlusion, as well as for reversal of tubal ligation, may be an alternative or an adjunct to IVF. Surgery for adenomyosis and endometriosis, including endometriomas, may be considered for the treatment of infertility and/or pelvic pain but carries the risks of surgical complications and diminished ovarian reserve. A greater understanding of the pathogenesis of postoperative peritoneal adhesion formation is needed to develop more effective preventive measures to optimize the clinical results of surgery.


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