Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-23T08:04:04.832Z Has data issue: false hasContentIssue false

11 - Tubal Microsurgery versus Assisted Reproduction

from PART II - INFERTILITY EVALUATION AND TREATMENT

Published online by Cambridge University Press:  04 August 2010

By
Shawky Z. A. Badawy ,
Frances Shue  and
Jennifer Shinners
Edited by
Botros R. M. B. Rizk ,
Juan A. Garcia-Velasco ,
Hassan N. Sallam  and
Antonis Makrigiannakis
Botros R. M. B. Rizk
Affiliation:
University of South Alabama
Juan A. Garcia-Velasco
Affiliation:
Rey Juan Carlos University School of Medicine,
Hassan N. Sallam
Affiliation:
University of Alexandria School of Medicine
Antonis Makrigiannakis
Affiliation:
University of Crete
Get access

Summary

ANATOMY OF THE FALLOPIAN TUBE

The fallopian tube develops as part of the paramesonephric ducts. These ducts develop as invaginations of the celomic epithelium around the four to six weeks of embryonic life after fertilization. The proximal portion of the paramesonephric ducts will lead to the development of the fallopian tubes. The distal portions will lead to the development of the uterus, cervix, and upper part of the vagina (1).

The human fallopian tube varies in length between 7 and 14 cm, with an average of 10 cm. It has various segments that vary in length and lumen diameter. The interstitial portion of the fallopian tube is contained within the cornual portion of the uterus, and it is about 1 cm in length. This will lead to the isthmic portion of the fallopian tube, which is about 2–3 cm in length and a lumen about 1 mm in diameter. The isthmus then is connected to the ampulla of the fallopian tube, which is the longest portion of the tube about 5–7 cm. The lumen is about 1–2 mm in diameter. This will lead after that to the infundibulum, which is about 3 cm wide and leads to the fimbrial end of the fallopian tube. The fimbria embrace the ovary, and this is assisted with the longest fimbria known as fimbriaovarica especially around the time of ovulation, and this process is important in the ovum pickup phenomena (2–4).

Keywords

assisted reproductionendometriosisfallopian tubein vitro fertilizationtubal microsurgerytubal sterilizationsalpingitis isthmica nodosa
Type
Chapter
Information
Infertility and Assisted Reproduction , pp. 99 - 106
Publisher: Cambridge University Press
Print publication year: 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Arey, LB. Developmental Anatomy, 7th Edition. Philadelphia: WB Saunders, 1965: 295.Google Scholar
Warwick, R, Williams, TL. Gray's Anatomy 35th D. Edition. Philadelphia: WB Saunders, 1973:1354.Google Scholar
Pauerstein, CJ. The Fallopian Tube—A Reappraisal. Philadelphia: Lea and Febiger, 1974.Google Scholar
Hafez, ESE, Black, DL. The mammalian utero-tubal junction. In Hafez, ESE, Blandau, RJ (Eds.), The Mammalian Oviduct: Comparative Biology and Methodology. Chicago: The University of Chicago Press, 1969:85.Google Scholar
Gordts, S, Campo, R, Rombauts, L, Brosens, I. Endoscopic visualization of the process of fimbrial ovum retrieval in the human. Hum Reprod 1998;13:1425–8.CrossRefGoogle ScholarPubMed
Leese, HJ, Tay, JI, Reischl, J, Downing, SJ. Formation of fallopian tubal fluid: role of a neglected epithelium. Reproduction 2001; 121:339–346.CrossRefGoogle ScholarPubMed
Surrey, ES. Falloposcopy. Obstet Gynecol Cl North America 1999;26:53–62.CrossRefGoogle ScholarPubMed
Donnez, J, Casanas-Roux, F, Caprasse, J, et al. Cyclic changes in ciliation, cell height, and mitotic activity in human tubal epithelium during reproductive life. Fertil Steril 1985;43:554–9.CrossRefGoogle ScholarPubMed
Jansen, RPS. Endocrine response in the fallopian tube. Endocr Rev 1984;5:525–51.CrossRefGoogle ScholarPubMed
Patton, DL, Moore, , Spadoni, LR, et al. A comparison of the fallopian tube's response to overt and silent salpingitis. Obstet Gynecol 1989;73:622–30.Google ScholarPubMed
Vasquez, G, Winston, RML, Boeckx, W, et al. The epithelium of human hydrosalpinges: a light optical in the scanning microscopic study. Br J Obstet Gynecol 1983;90:764–70.CrossRefGoogle Scholar
Blazar, AS, Hogan, JW, Seifer, DB, Frishman, GN, Wheeler, CA, Haning, RV. The impact of hydrosalpinx on successful pregnancy in tubal factor infertility treated by in-vitro fertilization. Fertil Steril 1997;67:517–20.CrossRefGoogle ScholarPubMed
Vandromme, J, Chasse, E, LeJeune, B, VanRysselberg, M, Delvigne, A, LeRoy, F. Hydrosalpinges in in-vitro fertilization unfavorable prognostic feature. Hum Reprod 1995;10:576–9.CrossRefGoogle Scholar
Copperman, AB, Wells, V, Luna, M, Kalir, T, Sandler, B, Mukherjee, T. Presence of hydrosalpinx correlated to endometrial inflammatory response in-vivo. Fertil Steril 2006;85(4):972–6.CrossRefGoogle Scholar
Rizk, B, Abdalla, H. Tubal factor and fertility. In Rizk, B, Abdalla, H (Eds.), Infertility and Assisted Reproductive Technology. Chapter I.3. Oxford, UK: Health Press, 2008, 60–1.CrossRefGoogle Scholar
Jenkins, CS, Williams, SR, Schmidt, GE. Salpingitis isthmica nodosa: a review of the literature, discussion of clinical significance and consideration of patient management. Fertil Steril 1993;60:599–607.CrossRefGoogle ScholarPubMed
McComb, PF, Rowe, TC. Salpingitis isthmica nodosa: evidence— it is a progressive disease. Fertil Steril 1989;51:542–4.CrossRefGoogle ScholarPubMed
Hillis, SD, Marchbanks, PA, Taylor, LR, Peterson, HB. Post sterilization regret: findings from the United States Collaborative Review of Sterilization. Obstet Gynecol 1999;93:889–95.Google Scholar
Rizk, B, Abdalla, H. Epidemiology and pathogenesis. In Rizk, B, Abdalla, H (Eds.), Endometriosis. Chapter 1. Abingdon, Oxford: Health Press Limited, 2003; 9–12.Google Scholar
Badawy, SZA, Marshall, L, Cuenca, V. Peritoneal fluid prostaglandins in various stages of the menstrual cycle: role in infertile patients with endometriosis. Int J Fertil 1985;30(2):48–52.Google ScholarPubMed
Badawy, SZA, Cuenca, V, Marshall, L et al. Cellular components in peritoneal fluid in patients with and without endometriosis. Fertil Steril 1984;42:704.CrossRefGoogle ScholarPubMed
Badawy, SZA, Marshall, L, Gabal, AA et al. The concentration of 13, 14-dihydro-15- keto prostaglandin F2alpha and prostaglandin E2 in peritoneal fluid of infertile patients with and without endometriosis. Fertil Steril 1982;38:166.CrossRefGoogle ScholarPubMed
Rizk, B, Abdalla, H (2003). Endometriosis and fertility. In Endometriosis. Abingdon, Oxford: Health Press Limited, 2003; chapter 2, 32–40.Google Scholar
Fakih, H, Baggett, B, Holtz, G et al. Interleukin-1: a possible role in the infertility associated with endometriosis. Fertil Steril 1987;47:213–17.CrossRefGoogle ScholarPubMed
Gomel, V. Tubal reanastomosis by microsurgery. Fertil Steril 1977;28:59–65.CrossRefGoogle ScholarPubMed
Winston, RM. Microsurgical tubocornual anastomosis for reversal of sterilization. Lancet 1977;1:284–5.CrossRefGoogle Scholar
Dubuisson, JB, Chapron, C, Morice, P, Aubriot, FX, Foulot, H, deJoliniere, JB. Laparoscopic salpingostomy: fertility results according to the tubal mucosal appearance. Hum Reprod 1994;9:334–9.CrossRefGoogle ScholarPubMed
Rizk, B, Abdalla, H. Surgical treatment of endometriosis. In Rizk, B, Abdalla, H (Eds.), Endometriosis. Abingdon, Oxford, United Kingdom: Health Press Limited, 2003; chapter 2, 71–80.Google Scholar
Benadiva, CA, Kligman, I, Davis, O, Rosenwaks, Z. In-vitro fertilization versus tubal surgery: is pelvic reconstructive surgery obsolete?Fertil Steril 1995;64(6):1051–61.Google ScholarPubMed
Novy, MJ. Tubal surgery of IVF-making the best choice in the 1990s. Int J Fertil Menopausal Stud 1995;40(6):292–7.Google ScholarPubMed
Honore, GM, Holden, AEC, Schenken, RS. Pathophysiology and management of proximal tubal blockage. Fertil Steril 1999; 71:785–95.CrossRefGoogle ScholarPubMed
Dubuisson, JB, Chapron, C, Ansquer, Y, Vacher-Lavenui, MC. Proximal tubal occlusion: is there an alternative to microsurgery?Hum Reprod 1997;12:692–8.CrossRefGoogle ScholarPubMed
Gillett, WR, Clarke, RH, Herbison, GP. First and subsequent pregnancies after tubal microsurgery: evaluation of the fertility index. Fertil Steril 1997;68:1033–42.CrossRefGoogle ScholarPubMed
Woolcott, R, Petchpud, A, O'Donnell, P, Stanger, J. Differential impact on pregnancy rate of selective salpingography, tubal catheterization and wire guide recanulization in the treatment of proximal fallopian tube obstruction. Hum Reprod 1995;10:1423–6.CrossRefGoogle Scholar
Lang, EK, Dunaway, HH. Recanalization of the obstructed fallopian tube by selective salpingography and transvaginal bougie dilatation outcome and cost analysis. Fertil Steril 1996;66:210–15.CrossRefGoogle ScholarPubMed
Aboulghar, MA, Mansour, RT, Serour, GI. Controversies in the modern management of hydrosalpinx. Hum Reprod Update 1998;98:637–42.Google Scholar
Winston, RML, Margara, RA. Microsurgical salpingectomy is not an obsolete procedure. Br J Obstet Gynecol 1991;98:637–42.CrossRefGoogle Scholar
Andeburt, AJM, Pouly, JL, Theobold, PV. Laparoscopic fimbrioplasty: an evaluation of 35 cases. Hum Reprod 1998;13:1496–9.Google Scholar
Johnson, NP, Mak, W, Sowter, MC. Surgical treatment for tubal disease in women due to undergo in-vitro fertilization. Cochrane Data Base Syst Rev 2001;(3):CD002125.CrossRefGoogle Scholar
Mardesic, T, Muller, P, Huttelova, R, Zvarova, J, Hulvert, J, Voboril, J, Becvarova, V, Mikova, M, Landova, K, Jirkovsky, M. Effect of salpingectomy on the results of IVF in women with tubal sterility—prospective study. Ceska Gynekol 2001;66(4):259–64.Google ScholarPubMed
Sagoskin, AW, Lessey, BA, Mottla, GL, et al. Salpingectomy or proximal tubal occlusion of unilateral hydrosalpinx increases the potential for spontaneous pregnancy. Hum Reprod 2003;18:2634–7.CrossRefGoogle ScholarPubMed
Hanafi, MM. Factors affecting pregnancy rate after microsurgical reversal of tubal ligation. Fertil Steril 2003;80:434–40.CrossRefGoogle ScholarPubMed
Kim, SH, Shin, CJ, Kim, JG, Moon, SY, Lee, JY, Chang, YS. Microsurgical reversal of tubal sterilization: a report on 118 cases. Fertil Steril 1997;68(5):865–70.CrossRefGoogle ScholarPubMed
Bissonnette, F, Lapense, L, Bowzayen, R. Outpatient laparoscopic tubal anastomosis and subsequent fertility. Fertil Steril 1997; 72(3):542–52.Google Scholar
Hull, MGE, Fleming, CF. Tubal surgery versus assisted reproduction: assessing their role in infertility therapy. Curr Opin Obstet Gynecol 1995;7:160–7.CrossRefGoogle ScholarPubMed
Milingos, S, Kallipoliis, G, Loukradis, D, et al. Adhesions: laparoscopic surgery versus laparotomy. Am NY Acad Sci 2000; 900:272–85.CrossRefGoogle ScholarPubMed
Rizk, B, Abdalla, H. In vitro fertilization. In Rizk, B, Abdalla, H (Eds.), Infertility and Assisted Reproductive Technology. Chapter III.1. Oxford, UK: Health Press, 2008; 160–2.CrossRefGoogle Scholar
Palagiano, A. Female infertility: the tubal factor. Minerva Ginecol 2005;57(5):537–43.Google ScholarPubMed
El-Mowafi, DM, Ngoh, NN. Management of tubal obstructions. Surg Technol Int 2005;14:199–212.Google ScholarPubMed
Strandell, A, Lindhard, A, Eckerlund, I. Cost-effectiveness analysis of salpingectomy prior to IVF, based on a randomized controlled trial. Hum Reprod 2005;20(12):3284–92.CrossRefGoogle ScholarPubMed
Gomel, V, McComb, PF. Microsurgery for tubal infertility. J Reprod Med 2006;51(3):177–84.Google ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×