Factors influencing the success of salpingostomy techniques for distal fimbrial obstruction

John A. Rock, K. Paul Katayama, Elizabeth J. Martin, J. Donald Woodruff, Howard W. Jones

Research output: Contribution to journalArticle

Abstract

The present study reviews the pregnancy outcome or 99 patients treated with salpingostomy techniques for distal flmbrial obstruction. Eighty-seven patients were treated with terminal salpingostomy, 10 with medioampullary salpingostomy, and 2 with isthmic salpingostomy. The pregnancy rates were 28%, 20%, and 0%, respectively. Within the terminal salpingostomy group, 5 of 18 patients treated with a prosthesis conceived, for a pregnancy rate of 28%. Nineteen of the 69 patients treated with an eversion technique conceived, for a pregnancy rate of 28%. No advantage with the use of a terminal prosthesis could be demonstrated. Tubal disease treated with techniques of salpingostomy was categorized according to a classification incorporating the several prognostic factors thought to influence subsequent conception. The pregnancy rate was found to be in direct relationship to the extent of tubal disease and pelvic adhesion formation. The tubal patency rate decreased in direct relationship to the extent of disease. The use of postoperative hydrotubation did not appear to improve the conception rate after salpingostomy for distal fimbrial obstruction.

Original languageEnglish (US)
Pages (from-to)591-596
Number of pages6
JournalObstetrics and Gynecology
Volume52
Issue number5
StatePublished - 1978

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Salpingostomy
Pregnancy Rate
Prostheses and Implants
Pregnancy Outcome

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Rock, J. A., Paul Katayama, K., Martin, E. J., Donald Woodruff, J., & Jones, H. W. (1978). Factors influencing the success of salpingostomy techniques for distal fimbrial obstruction. Obstetrics and Gynecology, 52(5), 591-596.

Factors influencing the success of salpingostomy techniques for distal fimbrial obstruction. / Rock, John A.; Paul Katayama, K.; Martin, Elizabeth J.; Donald Woodruff, J.; Jones, Howard W.

In: Obstetrics and Gynecology, Vol. 52, No. 5, 1978, p. 591-596.

Research output: Contribution to journalArticle

Rock, JA, Paul Katayama, K, Martin, EJ, Donald Woodruff, J & Jones, HW 1978, 'Factors influencing the success of salpingostomy techniques for distal fimbrial obstruction', Obstetrics and Gynecology, vol. 52, no. 5, pp. 591-596.
Rock JA, Paul Katayama K, Martin EJ, Donald Woodruff J, Jones HW. Factors influencing the success of salpingostomy techniques for distal fimbrial obstruction. Obstetrics and Gynecology. 1978;52(5):591-596.
Rock, John A. ; Paul Katayama, K. ; Martin, Elizabeth J. ; Donald Woodruff, J. ; Jones, Howard W. / Factors influencing the success of salpingostomy techniques for distal fimbrial obstruction. In: Obstetrics and Gynecology. 1978 ; Vol. 52, No. 5. pp. 591-596.
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