[Results of terminal salpingostomy and fimbrioplasty in distal occlusion and tubal phimosis].

Abstract

Terminal salpingostomy and fimbrioplastics were performed in 108 patients by conventional surgical technique: 78 had bilateral occlusion of the abdominal orifice of the uterine tube with hydrosalpinx, 21 unilateral distal occlusion coupled with stenosis and perisalpingitis on the other side, and 9 bilateral stenosis and perisalpingitis. In all patients other causes of sterility were excluded. The duration of their sterility lasted 2-15 years, while their age ranged from 21 to 40 years. In 96 out 108 patients laparoscopy was applied immediately before operation. Out of 108 surgically treated patients, 22 conceived and gave birth to a child (20%), 2 had abortion (0.92%), and 7 conceived outside the uterus (3.7%). In 72 patients who did not conceive six months after operation, control hysterosalpingography was applied; it showed that 58 patients had one or both tubes unobstructed (80.5%), while bilateral reocclusion was found in 14 patients (19.4%). Hydrotubation was performed by a mixture of antibiotics and hydrocortisone 3-5 days following operation.