{"paper_id":"2db18a68-0fd5-45cd-9751-361d72897f79","body_text":"Abstract\nMajor advances in instrument design during the past two decades have allowed the development of endoscopie techniques for correction of pelvic pathology. These reconstructive procedures are in many circumstances supplanting traditional open abdominal microsurgery because of equivalence in outcomes and lower patient morbidity and expense. Operative laparoscopy provides excellent visualization and, when performed properly, fulfills the major tenets of microsurgery. These principles include the precise dissection and approxima-tion of planes with minimal damage to adjacent tissue, use of atraumatic instruments, frequent irrigation to maintain serosal surface moisture, meticulous hemostasis, and minimal introduction of foreign bodies such as glove powder and lint into the peritoneal cavity.\nPreview\nUnable to display preview. Download preview PDF.\nSimilar content being viewed by others\nReferences\nReich H. Laparoscopic treatment of extensive pelvic adhesions, including hydrosalpinx. J Re-prod Med. 1987;32:736–742.\nGomel V. Salpingo-ovariolysis by laparoscopy in infertility. Fertil Steril. 1983;40:607–611.\nRock JA, Katayama P, Martin EJ, et al. Factors influencing the success of salpingostomy techniques for distal fimbrial obstruction. Obstet Gynecol. 1978;52:591–596.\nNezhat C, Winer WK, Cooper JD, et al. Endoscopic infertility surgery. J Reprod Med. 1989; 34:127–134.\nMcComb PF, Paleologou A. The intussusception salpingostomy technique for the therapy of distal oviductal occlusion at laparoscopy. Obstet Gynecol. 1991;78:443–447.\nDlugi AM, Reddy S, Saleh WA, et al. Pregnancy rates after operative endoscopic treatment of total (neosalpingostomy) or near total (salpingostomy) distal tubal occlusion. Fertil Steril. 1994;62:913–920.\nCanis M, Mage G, Pouly JL, Manhes H, et al. Laparoscopic distal tuboplasty: report of 87 cases and a 4-year experience. Fertil Steril. 1991;56: 616–621.\nDubuisson JB, Chapron C, Morice P, et al. Laparoscopic salpingostomy: fertility results according to the tubal mucosal appearance. Hum Re-prod. 1994;9:334–339.\nHolst N, Maltau JM, Forsdahl F, Hansen LJ. Handling of tubal infertility after introduction of in vitro fertilization: changes and consequences. Fertil Steril. 1991;55:140–143.\nTan SL, Royston P, Campbell S, et al. Cumulative conception and live birth rates after in-vitro fertilization. Lancet. 1992;339:1390–1394.\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 1997 Springer Science+Business Media New York\nAbout this chapter\nCite this chapter\nHesla, J.S., Rock, J.A. (1997). Laparoscopic Tubal Surgery and Adhesiolysis. In: Azziz, R., Murphy, A.A. (eds) Practical Manual of Operative Laparoscopy and Hysteroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1886-9_13\nDownload citation\nDOI: https://doi.org/10.1007/978-1-4612-1886-9_13\nPublisher Name: Springer, New York, NY\nPrint ISBN: 978-1-4612-7324-0\nOnline ISBN: 978-1-4612-1886-9\neBook Packages: Springer Book Archive\nKeywords\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}