Neosalpingostomy for distal tubal obstruction: Prognostic factors and impact of surgical technique

W. D. Schlaff, D. K. Hassiakos, M. D. Damewood, J. A. Rock

Research output: Contribution to journalArticle

Abstract

We reviewed the clinical records of all women who underwent microsurgical terminal neosalpingostomy for distal tubal obstruction between January 1983 and June 1988. We identified 95 women whose preoperative evaluation revealed no other contributory factors for infertility and analyzed their pregnancy outcome after this procedure. Pregnancy success was inversely related to the extent of tubal distortion (dilation, rugal integrity, and status of the fimbria) and degree of adnexal adhesions. Using our classification system for distal tubal obstruction, patients with mild disease had an 80% pregnancy rate, whereas patients with moderate and severe disease had a 31% and 16% success rate, respectively. We found no statistically significant difference in pregnancy outcome when we compared this series with our previous group, reported in 1978, where contemporary microsurgical technique was not used. Although we feel that optimal surgical technique is important to maximize success, we conclude that the most important prognostic factor in pregnancy outcome after neosalpingostomy for distal tubal disease is the anatomical and functional integrity of the tube.

Original languageEnglish (US)
Pages (from-to)984-990
Number of pages7
JournalFertility and sterility
Volume54
Issue number6
StatePublished - Jan 1 1990

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Fingerprint Dive into the research topics of 'Neosalpingostomy for distal tubal obstruction: Prognostic factors and impact of surgical technique'. Together they form a unique fingerprint.

  • Cite this

    Schlaff, W. D., Hassiakos, D. K., Damewood, M. D., & Rock, J. A. (1990). Neosalpingostomy for distal tubal obstruction: Prognostic factors and impact of surgical technique. Fertility and sterility, 54(6), 984-990.