Journal article

Publication year: 1991

Pages: 632-636

Journal: Geburtshilfe und Frauenheilkunde

Volume number: 51

Issue number: 8

ISSN: 0016-5751

DOI Link: https://doi.org/10.1055/s-2007-1026413

Publisher: Georg Thieme Verlag

Abstract: 
The condition of the fallopian tubes was assessed in 100 fertile women on whom a caesarean section had been performed and in 100 infertile women who had undergone a diagnostic laparoscopy. The 100 infertile women revealed both peritubal adhesions (20 % vs 2 %) and fimbrial agglutinations (4 % vs 0 %) in a significantly higher number of cases. When the diagnostic procedure was extended to include the salpingoscopy of 20 women with periampullary and peritubal adhesions, 10 % of them were found to be suffering from damage of the endosalpinx. In patients with fimbrial agglutination, the same diagnostic procedure revealed mucosal damage in 40 % of the cases. The rate of damage to the endosalpinx may help to explain the relatively high rate of ectopic pregnancies (15 %) following microsurgical fimbrioplasty. Thus, in cases where the patient is suffering from peritubal adhesions and fimbrial agglutinations, salpingoscopy can be of use in deciding whether microsurgery is indicated. In those cases, where there is evidence of damage to the endosalpinx, in-vitro fertilization with intrauterine embryo transfer must be considered as the preferential method.

Harvard Citation style: KLEINSTEIN, J., KIRSCHBAUM, M., GIPS, H. and KUNZEL, W. (1991) SALPINGOSCOPY - AN AID TO THE DIAGNOSIS OF STERILITY, Geburtshilfe und Frauenheilkunde, 51(8), pp. 632-636. https://doi.org/10.1055/s-2007-1026413

APA Citation style: KLEINSTEIN, J., KIRSCHBAUM, M., GIPS, H., & KUNZEL, W. (1991). SALPINGOSCOPY - AN AID TO THE DIAGNOSIS OF STERILITY. Geburtshilfe und Frauenheilkunde. 51(8), 632-636. https://doi.org/10.1055/s-2007-1026413