G Vasquez1, W Boeckx, I Brosens. 1. Department of Obstetrics and Gynaecology, University Hospital Gasthuisberg, Leuven, Belgium.
Abstract
OBJECTIVE: To correlate the presence and extent of peritubal and mucosal adhesions in hydrosalpinges. DESIGN: Comparative study. SETTING: Tertiary centers with experience in tubal microsurgery. PATIENTS: Infertile women with complete distal tubal block. INTERVENTION: Salpingoneostomy. MAIN OUTCOME MEASURE: Presence and extent of adhesions. RESULTS: Peritubal adhesions occur more frequently than mucosal adhesions in hydrosalpinges. Of 7 hydrosalpinges without peritubal adhesions, 1 showed mucosal adhesions but of 83 hydrosalpinges with peritubal adhesions, 31 (37%) showed no mucosal adhesions. CONCLUSION: Accurate endoscopic assessment of the ampullary mucosa is recommended in hydrosalpinx to select the appropriate patient for surgery.
OBJECTIVE: To correlate the presence and extent of peritubal and mucosal adhesions in hydrosalpinges. DESIGN: Comparative study. SETTING: Tertiary centers with experience in tubal microsurgery. PATIENTS: Infertile women with complete distal tubal block. INTERVENTION: Salpingoneostomy. MAIN OUTCOME MEASURE: Presence and extent of adhesions. RESULTS: Peritubal adhesions occur more frequently than mucosal adhesions in hydrosalpinges. Of 7 hydrosalpinges without peritubal adhesions, 1 showed mucosal adhesions but of 83 hydrosalpinges with peritubal adhesions, 31 (37%) showed no mucosal adhesions. CONCLUSION: Accurate endoscopic assessment of the ampullary mucosa is recommended in hydrosalpinx to select the appropriate patient for surgery.