Laparoscopic surgery of fallopian tubes
Clogged fallopian tubes cause infertility because sperm can not reach the ovum and fertilize it. The accumulation of fluid in the fallopian tubes also induces infertility and greatly reduces the success rates of IVF, because it prevents sperm from reaching the egg, and on the other hand this fluid is toxic, it flows into the endometrium cavity and has a deleterious effect on the implantation of the fetus.
The plastic surgery of the fallopian tubes can be performed in cases where the fallopian tubes have been affected by pelvic inflammations (salpingitis), surgical adhesions or even endometriosis. Removal of the pathological and damaged tissue, maintaining the healthy, and sometimes suturing and anastomosis, i.e. reunion, of the healthy ends of the fallopian tube. The laparoscopic method outperforms open and microsurgery, with fewer adhesions. Childbirth rates following salpingoplasty depend on the cause of the obstruction, these percentages being very small in cases where tubal obstruction is due to previous salpingitis.
In hydrosalpinx cases, salpingoplasty has no place. In these cases, laparoscopic removal of the oviduct is necessary initially, and then the woman must undergo IVF.