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Salpingoscopy: a new pre‐operative diagnostic tool in tubal infertility
Author(s) -
BROSENS I.,
BOECKX W.,
DELATTIN Ph.,
PUTTEMANS P.,
VASQUEZ G.
Publication year - 1987
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1987.tb03724.x
Subject(s) - infundibulum , laparotomy , fallopian tube , medicine , laparoscopy , hysterosalpingography , endoscopy , surgery , infertility , microsurgery , reconstructive surgery , anatomy , pregnancy , biology , genetics
Summary. Endoscopy of the fallopian tube allows examination of the tubal mucosa in subfertile patients. Clinical and morphological studies have shown a high correlation between the appearance of the tubal mucosa and the ultimate outcome in terms of pregnancies. Salpingoscopy was originally performed during laparotomy for reconstructive tubal surgery. The present study describes the use of a rigid 3 mm telescope passed along the channel of the operating laparoscope to assess the mucosa of the infundibulum and ampullary segment. Lesions of the infundibulum and ampullary segment have been detected in patients with apparently normal tubes on the hysterosalpingogram and at laparoscopy. The extent of the mucosal lesions can be assessed preoperatively in patients with tubal adhesions, tubo‐cornual or isthmic lesions and hydrosalpinges.