The place of reconstructive tubal surgery in the era of assisted reproductive techniques.

摘要: Assisted reproductive techniques yield high rates of success for women with tubal factor infertility. Because they are potentially effective all categories infertility, two decades, clinical and basic research in infertility has been focused on IVF outcomes, rather than developing surgical or training subspecialists microsurgery. Nonetheless, comparison IVF, reconstructive surgery is inexpensive offers multiple opportunities to attempt conception. Performing laparoscopic salpingostomy prior good prognosis disease may improve the outcome subsequent while offering potential spontaneous Tubo-tubal anastomosis reversal ligation, performed either by a microsurgical technique through mini-laparotomy laparoscopy, preferable younger no other fertility factors, because it higher cumulative pregnancy rates. Surgery only alternative who personal reasons unable undergo assisted techniques. Tubal must be considered complementary forms treatment should an integral part subspecialty endocrinology