Suturing versus flowering technique of Bruhat after fimbrioplasty for endometriosis-related infertility

M.F. Mitwally, Anusha Thotakura, Omar Abuzeid, M. Ashraf, Michael P. Diamond, Mostafa I. Abuzeid
In: Gynecological Surgery · 2008 · vol. 6(2) · doi:10.1007/s10397-008-0433-7 · W2091281722
article OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This study compared suturing versus flowering techniques for laparoscopic fimbrioplasty in endometriosis patients, finding no significant difference in pregnancy rates between the two methods.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This historical cohort study compared reproductive outcomes after laparoscopic fimbrioplasty for endometriosis-related infertility, specifically whether everting the fimbrial ostium edges by intracorporeal suturing (6-0 Vicryl) versus “flowering” of Bruhat (electrical/laser heating using an Argon Beam coagulator) affected spontaneous or COS-IUI pregnancy rates over up to 12 months. The study included 154 women with bilateral patent tubes and distal tubal pathology, excluding PID by negative Chlamydia trachomatis serology and excluding major male factor infertility; two groups were 46 (flowering) and 108 (suturing), and patients were similar in age, infertility duration, and endometriosis stage. Pregnancy rates per cycle and per patient, along with cumulative pregnancy rates, were not significantly different between techniques, and the authors note no advantage of suturing over flowering, with flowering described as easier and requiring less operative time. This paper is centrally about endometriosis-related infertility — it evaluates how two fimbrioplasty methods affect fertility outcomes in women with endometriosis.

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endometriosisinfertility

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