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Tuboplasty

Reproductive and Fertility Treatment

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.

Facts
Classification
Status
Standard of Care 1
Origin Year
1884 2
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
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.
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