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Prognostic factors for fertility outcome following laparoscopic salpingostomy were evaluated. We studied all distal tuboplasties performed between May 1986 and June 1991. Ninety infertile women were treated. Tuboplasty was carried out bilaterally except when one tube was absent or when bifocal lesions were present. Salpingostomy was performed using either scissors and thermocoagulation for eversion, or the CO2 laser. Cumulative pregnancy rates were evaluated by life-table analysis, according to the tubal classification and the mucosal status. The 18 months estimated cumulative pregnancy rate with normal delivery was 28.7%. Pregnancy rates were significantly higher in patients classified in grades I and II versus grade III and IV (severely damaged tubes) according to the distal tubal scoring system, and in patients with normal or lightly atrophic mucosa versus alveolar or absent mucosa. Operative laparoscopy is effective for treatment of hydrosalpinges. Fertility outcome is related to the tubal damage. Our results demonstrate that the prognosis value of the mucosal status seems to be as predictive as the distal tubal scoring system.
J B Dubuisson, and
C Chapron, and
P Morice, and
F X Aubriot, and
H Foulot, and
J Bouquet de Jolinière
February 1999,
Lancet (London, England),
J B Dubuisson, and
C Chapron, and
P Morice, and
F X Aubriot, and
H Foulot, and
J Bouquet de Jolinière
August 2016,
European journal of obstetrics, gynecology, and reproductive biology,
J B Dubuisson, and
C Chapron, and
P Morice, and
F X Aubriot, and
H Foulot, and
J Bouquet de Jolinière
February 2022,
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics,
J B Dubuisson, and
C Chapron, and
P Morice, and
F X Aubriot, and
H Foulot, and
J Bouquet de Jolinière
November 1990,
Fertility and sterility,
J B Dubuisson, and
C Chapron, and
P Morice, and
F X Aubriot, and
H Foulot, and
J Bouquet de Jolinière
November 1992,
The Australian & New Zealand journal of obstetrics & gynaecology,
J B Dubuisson, and
C Chapron, and
P Morice, and
F X Aubriot, and
H Foulot, and
J Bouquet de Jolinière
January 2018,
Ceska gynekologie,
J B Dubuisson, and
C Chapron, and
P Morice, and
F X Aubriot, and
H Foulot, and
J Bouquet de Jolinière
January 1969,
Revue francaise de gynecologie et d'obstetrique,
J B Dubuisson, and
C Chapron, and
P Morice, and
F X Aubriot, and
H Foulot, and
J Bouquet de Jolinière
January 2016,
Annali italiani di chirurgia,
J B Dubuisson, and
C Chapron, and
P Morice, and
F X Aubriot, and
H Foulot, and
J Bouquet de Jolinière
November 2012,
Fertility and sterility,
J B Dubuisson, and
C Chapron, and
P Morice, and
F X Aubriot, and
H Foulot, and
J Bouquet de Jolinière
September 1997,
Lancet (London, England),
