Infertility and Adhesions

In: Peritoneal Surgery · 2000 · pp. 329–333 · doi:10.1007/978-1-4612-1194-5_29 · W29622879
book-chapter OA: closed CC0 ⤵ 1 in-corpus citation
Full text JSON View on OpenAlex View at publisher
AI-generated summary by claude@2026-06+body, 2026-06-09

Pelvic adhesions, often caused by infection, endometriosis, or surgery, are a significant factor in tubal factor infertility, accounting for 40% of female infertility cases.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text

This chapter reviews how pelvic adhesions contribute to infertility, particularly tubal factor infertility, and discusses identifiable sources including postinfectious tubal damage, endometriosis-related adhesions, and postsurgical adhesion formation. It surveys diagnostic and prognostic approaches for tubal pathology—such as salpingoscopy/tuboscopy (visualizing the tube mucosa) and related classification systems—to connect tubal adhesions or distal occlusion with fertility outcomes. A key caveat is that the chapter is largely a synthesis of prior studies and does not present new original data, so conclusions depend on the heterogeneity and limitations of the cited evidence. Relevance to endometriosis: the chapter explicitly cites endometriosis-related adhesions as a cause of tubal factor infertility and includes studies of salpingoscopy in endometriosis-associated infertility, though the work’s broader focus is pelvic adhesions and infertility across etiologies rather than endometriosis alone.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Full text 4,632 characters · extracted from oa-doi-fallback · 3 sections · click to expand

Abstract

Pelvic adhesions may be the cause of bowel obstruction, pelvic pain, and infertility. Tubal factor infertility accounts for approximately 40% of the cases of female infertility.1 Identifiable causes of tubal infertility are postinfectious tubal damage, endometriosis-related adhesions, and postsurgical adhesion formation. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Westrom L. Incidence, prevalence, and trends of acute pelvic inflammatory disease and its consequences in industrialized countries. Am J Obstet Gynecol 1980; 138:880–892. Diamond MP, Daniell JF, Feste J, et al. Adhesion reformation and de novo adhesion formation after reproductive pelvic surgery. Fertil Steril 1987; 47:864–866. Caspi E, Halperin Y, Bukovsky I. The importance of peri-adnexal adhesions in tubal reconstructive surgery for infertility. Fertil Steril 1979; 31:296–300. Hulka JF. Adnexal adhesions: a prognostic staging and classification system based on a five-year survey of fertility surgery results at Chapel Hill, North Carolina. Am J Ob-stet Gynecol 1982; 144:141–148. Henry-Suchet J, Loffredo V, Tesquier L, et al. Endoscopy of the tube (=tuboscopy): its prognostic value for tubo-plasties. Acta Eur Fertil 1985; 16:139–145. De Bruyne F, Puttemans P, Boeckx W, et al. The clinical value of salpingoscopy in tubal infertility. Fertil Steril 1989; 51:339–340. Dubuisson JB, Chapron C, Morice P, et al. Laparoscopic salpingostomy: fertility results according to the tubal mu-cosa appearance. Hum Reprod (Oxf) 1994; 9:334–339. Marana R, Rizzi M, Muzii L, et al. Correlation between the American Fertility Society classification of adnexal adhesions and distal tubal occlusion, salpingoscopy, and reproductive outcome in tubal surgery. Fertil Steril 1995; 64:924–929. De Bruyne F, Hucke J, Willers R. The prognostic value of salpingoscopy. Hum Reprod (Oxf) 1997; 12:266–271. Rock JA, Katayama KP, Martin, EJ, et al. Factors influencing the success of salpingostomy techniques for distal fim-brial occlusion. Obstet Gynecol 1978; 52:591–596. Boer-Meisel ME, te Velde ER, Habbema JDF, et al. Predicting the pregnancy outcome in patients treated for hydro-salpinx: a prospective study. Fertil Steril 1986; 45:23–28. Mage G, Pouly JL, de Joliniere JB, et al. A preoperative classification to predict the intrauterine and ectopic pregnancy rate after distal tubal microsurgery. Fertil Steril 1986; 46:807–810. American Fertility Society. The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, Mullerian anomalies and intrauterine adhesions. Fertil Steril 1988; 49:944–955. Puttemans P, Brosens IA, Delattin PH, et al. Salpingoscopy versus hysterosalpingography in hydrosalpinges. Human Reprod (Oxf) 1987; 2:535–540. Vasquez G, Boeckx W, Brosens I. No correlation between peritubal and mucosal adhesions in hydrosalpinges. Fertil Steril 1995; 64:1032–1033. Heylen SM, Brosens IA, Puttemans PJ, Clinical value and cumulative pregnancy rates following rigid salpingoscopy during laparoscopy for infertility. Hum Reprod (Oxf) 1995; 10:2913–2916. Marana R, Muzii L, Rizzi M, et al. Salpingoscopy in patients with endometriosis-associated infertility. Acta Eur Fertil 1990; 21:247–249. Nezhat F, Winer WK, Nezhat C. Fimbrioscopy and salpingoscopy in patients with minimal to moderate pelvic en-dometriosis. Obstet Gynecol 1990; 75:15–17. Dunphy BC, Greene CA. Falloposcopic cannulation of oviducts: mucosal appearances and prediction of treatment independent intrauterine pregnancy. Hum Reprod (Oxf) 1995; 10:3313–3316. Kerin JF, Williams DB, San Roman GA, et al. Falloposcopic classification and treatment of fallopian tube lumen disease. Fertil Steril 1992; 57:731–741. Gomel V. From microsurgery to laparoscopic surgery: a progress. Fertil Steril 1995; 63:464–468. Editor information Editors and Affiliations Rights and permissions Copyright information © 2000 Springer Science+Business Media New York About this chapter Cite this chapter Marana, R., Muzii, L. (2000). Infertility and Adhesions. In: diZerega, G.S. (eds) Peritoneal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1194-5_29 Download citation DOI: https://doi.org/10.1007/978-1-4612-1194-5_29 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4612-7040-9 Online ISBN: 978-1-4612-1194-5 eBook Packages: Springer Book Archive

Keywords

These 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.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

infertility

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (3)

Cited by (1)

References (24)

Cited by (1)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK