Results of microsurgical treatment of tubal infertility and early second-look laparoscopy in the post-pelvic inflammatory disease patient: Implications for in vitro fertilization

Luber K, K Luber, Karl M. Luber, Beeson CC, C C Beeson, Charles C. Beeson, J F Kennedy, Joseph F. Kennedy, Kennedy JF, Benito Villanueva, B. Villanueva, Villanueva B, Philip Young, Young PE, P E Young
American journal of obstetrics and gynecology · 1986 · vol. 154(6) , pp. 1264–1270 · doi:10.1016/0002-9378(86)90710-6 · PMID:2940868 · W2049239015
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⚙ AI-generated summary by claude@2026-07, 2026-07-18 ⓘ

Microsurgery for tubal infertility post-pelvic inflammatory disease yielded pregnancy rates of 69% for adhesiolysis, 35% for fimbrioplasty, 30% for salpingostomy, and 60% for cornual implantation, with second-look laparoscopy showing no added benefit.

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Abstract

Sixty-nine patients with tubal infertility secondary to pelvic inflammatory disease were surgically treated by one of three infertility surgeons, who used microsurgery for repair of the tubal pathologic condition and early second-look laparoscopy 6 to 30 days postoperatively for lysis of postoperative adhesions. No patient was included in this group whose disease was thought to have originated from endometriosis or prior abdominal surgery. The average follow-up time was 43.1 months (range 12 to 85.9). Nine patients were excluded from the analysis. Pregnancy outcome by procedure, expressed as the percentage of patients conceiving, was as follows: adhesiolysis, 69% (61% term, 8% ectopic); fimbrioplasty, 35% (25% term, 10% ectopic); salpingostomy, 30% (18% term, 12% ectopic); and cornual implantation, 60% (40% term, 20% ectopic). No added therapeutic value could be attributed to the use of early second-look laparoscopy. Given the relatively poor outcome of fimbrioplasty and salpingostomy, it may be prudent to advise patients with bilateral partial and/or total tubal occlusion against tuboplasty in favor of in vitro fertilization and embryo transfer.

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Condition tags

infertility

MeSH descriptors

Fallopian Tubes Fertilization in Vitro Infertility, Female Microsurgery Pelvic Inflammatory Disease Embryo Transfer Fallopian Tubes Female Follow-Up Studies Humans Infertility, Female Infertility, Female Laparoscopy Microsurgery Pelvic Inflammatory Disease Pregnancy Tissue Adhesions Tissue Adhesions

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