Tuboplasty is a group of surgical operations that attempt to restore the patency and normal function of one or both fallopian tubes in women whose infertility is caused by tubal disease or blockage. The approaches include tubal reanastomosis to rejoin healthy segments of tube, fimbrioplasty to free fimbriae that have stuck together, salpingostomy to create a new opening at the blocked end of a tube, salpingolysis to remove surrounding adhesions, and cornual implantation to reconnect a tube to the uterus. Surgeons perform tuboplasty by open laparotomy or by laparoscopy, sometimes with microsurgical technique, lasers, electrocautery, hydrodissection, or temporary stents and barriers. Reported pregnancy rates afterward range from zero to about 48 percent depending on the severity of the underlying damage and the surgeon experience, and the operation carries a risk of ectopic pregnancy that can require later removal of the tube. The first tuboplasty was performed in 1884, but the operation has become less common since in vitro fertilization emerged as a more reliable treatment for tubal infertility.
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Tuboplasty
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FAQs
Is tuboplasty still chosen over in vitro fertilization for blocked fallopian tubes?
Often the choice is made case by case between tubal repair and in vitro fertilization.
It depends on the patient. The American Society for Reproductive Medicine says that for some patients the success after tubal surgery may be significantly lower than that for in vitro fertilization, so surgical repair is not automatically the better route. Its committee opinion lists the factors to weigh when counseling a patient: the age of the patient, ovarian reserve, prior fertility, number of children desired, the site and extent of the tubal disease, and the presence of other infertility factors. In other words, the choice between repairing the tubes and moving to in vitro fertilization is made case by case.
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Source Tuboplasty (Wikipedia)
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2. Tuboplasty (Wikipedia)
History section
Schroder is credited to have performed the first tuboplasty when he created an ampullary cuff and thus reopened an occluded tube in 1884.
https://en.wikipedia.org/wiki/Tuboplasty, lead section
Tuboplasty refers to a number of surgical operations that attempt to restore patency and functioning of the fallopian tube(s) so that a pregnancy could be achieved.
Treats: Infertility, Section: History (treats 695534)
With the development of IVF technology, IVF has increasingly supplanted tuboplasty as a treatment for tubal infertility.
In Group: Assisted Reproduction and Fertility Treatment, Introduction
Tuboplasty refers to a number of surgical operations that attempt to restore patency and functioning of the fallopian tube(s) so that a pregnancy could be achieved.
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