Controversies in the surgical management of hydrosalpinx.

Abstract:

:The surgical management of hydrosalpinges is a controversial subject. Chronic pathology of the fallopian tube with distal obstruction leads to the formation of a hydrosalpinx, and is associated with very poor pregnancy rates after surgery. In these cases, in-vitro fertilization has proved to be a much better alternative. However, several studies have shown that patients with hydrosalpinges have significantly lower pregnancy and implantation rates after in-vitro fertilization compared with patients with other forms of tubal damage. The exact mechanism by which the hydrosalpinx adversely affects in-vitro fertilization results is not yet fully understood. The value of performing a salpingectomy before in-vitro fertilization has been studied extensively. Currently, a clear benefit in salpingectomies has been proved for patients with ultrasonically visible hydrosalpinges.

authors

Mansour R,Aboulghar M,Serour GI

doi

10.1097/00001703-200008000-00006

keywords:

subject

Has Abstract

pub_date

2000-08-01 00:00:00

pages

297-301

issue

4

eissn

1040-872X

issn

1473-656X

journal_volume

12

pub_type

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