Pregnancies after terminal microsurgical tuboplasties with early laparoscopic control on the 8th day.

ABSTRACT

226 terminal or bipolar tuboplasties performed in a continuous series from 1976 to 1982, using microsurgical techniques, are reviewed. 5 varieties of fimbrioplasties and 5 of salpingostomies are described. As previously published, an early laparoscopy was systematically performed 8 days after the plasty, with destruction of new adhesions, the latter being a bilateral obstacle to fecundation in 10% of the total. Out of 175 primary tuboplasties, cumulative pregnancy rate (CPR) is 66% +/- 2 X 6,5 and "real" pregnancy rate (RPR) 46%. For 96 cases of hydrosalpinges, CPR is 49% +/- 2 X 7,5 and RPR 43%. The ectopic pregnancy rate is 9% and spontaneous abortion rate 8%. Out of 47 terminal iterative tuboplasties CPR is 30% +/- 2 X 9 and RPR 25%. 10% of the pregnancies are attributed to the early laparoscopy, which enabled one to destroy bilateral adhesions in these cases.