Laparoscopic treatment of extensive pelvic adhesions, including hydrosalpinx.
article
OA: closed
CC0
⤵ 10 in-corpus citations
Abstract
Sixty-seven women with extensive pelvic adhesions, including hydrosalpinx, underwent a laparoscopic surgical procedure over the past eight years. Only cases in which ovum pickup was greatly impaired by adhesions were included. Cases of extensive endometriosis or acute adhesions were excluded. Recent innovations in technique were used, including aquadissection, electrodissection, scissors dissection and laparoscopic suturing. Two women suffered transient unilateral brachial plexus injury; there were no other complications. No laparotomies were required. The viable pregnancy rate was 78% (21 of 27) for women who underwent salpingoovariolysis on the most favorable adnexa and 28.5% (2 of 7) for those with salpingostomy for hydrosalpinx. There was one ectopic pregnancy (3%). The outcome for 34 laparoscopically treated women compared favorably with that for 30 women with similar tubal factor infertility who were treated with laparotomy microsurgery; the viable pregnancy rate was 75% (9 of 12) for laparotomy salpingoovariolysis and 53% (8 of 15) for laparotomy salpingostomy, with an ectopic rate of 13% (4 of 30).
My notes (saved in your browser only)
Condition tags
MeSH descriptors
Citation neighborhood
Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.
Cited by (10)
- Surgical treatment of pelvic inflammatory disease 2010
- Techniques for pelvic surgery in subfertility 2006
- Surgical management of endometriosis-associated pain 2003
- Advantages of Open Laparoscopic Surgery over Exploratory Laparotomy in Patients with Tubo-ovarian Abscess 2002
- Laparoscopic Tubal Surgery and Adhesiolysis 1997
- Rationale for Surgical Treatment of Endometriosis 1995
- Laser Technology: Endometriosis and Tubal Surgery 1994
- Infertility and endometriosis: Comparison of pregnancy outcomes with laparotomy versus laparoscopic techniques 1992
- Carbon Dioxide Laser Laparoscopy for Endometriosis 1991
- Presentday endoscopic surgery in gynecology 1991
Source provenance
- europepmc
- last seen: 2026-06-13T06:22:48.782012+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:09:25.758913+00:00
License: CC0
· commercial use OK