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Tubal disease and assisted reproduction
Author(s) -
Siassakos Dimitrios,
Syed Amber,
Wardle Peter
Publication year - 2008
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1576/toag.10.2.080.27395
Subject(s) - salpingectomy , laparotomy , infertility , laparoscopy , medicine , gynecology , hydrosalpinx , obstetrics , fertility , general surgery , surgery , pregnancy , population , ectopic pregnancy , biology , genetics , environmental health
• Surgery can be useful in selected cases of tubal infertility and may have a complementary role for some women undergoing in vitro fertilisation (IVF). • Salpingectomy for women with large hydrosalpinges can improve the success rate of IVF. • There is little evidence that laparoscopy offers any advantage over laparotomy for tubal surgery. • Structured training in reproductive surgical techniques is of critical importance.Learning objectives:• To understand the selection criteria for tubal surgery and evaluate the supporting evidence. • To understand the limitations of the existing evidence. • To be able to counsel infertile couples appropriately.Ethical issues:• Couples seeking fertility treatment may receive unreliable or biased information when considering tubal surgery. • Is it ethical to perform tubal surgery on women with a low chance of success simply because they are unable to have IVF?Please cite this article as: Siassakos D, Syed A, Wardle P. Tubal disease and assisted reproduction. The Obstetrician & Gynaecologist 2008;10:80–87.