Objective: To describe proximal occlusion of a hydrosalpinx by hysteroscopic placement of a microinsert before IVF- ET. Design: Case report. Setting: Health maintenance organization and tertiary- care assisted reprodu...Objective: To describe proximal occlusion of a hydrosalpinx by hysteroscopic placement of a microinsert before IVF- ET. Design: Case report. Setting: Health maintenance organization and tertiary- care assisted reproductive technology unit. Patient(s): Obese, infertile woman with pelvic adhesive disease and unilateral hydrosalpinx. Intervention(s): Hysteroscopic placement of a microinsert into the proximal segment of a fallopian tube that was distally obstructed by hydrosalpinx. No intraoperative or postoperative complications occurred with hysteroscopic placement of microinsert. Main Outcome Mea- sure(s): Nonincisional proximal tubal occlusion under local anesthesia and intravenous sedation. Pregnancy by IVF- ET. Result(s): No intraoperative or postoperative complications with hysteroscopic placement of microinsert were seen. After uterine transfer of three embryos, dichorionic- diamniotic twins were delivered by cesarean section at 34 weeks of gestation. Conclusions(s): Hysteroscopic placement of a microinsert to proximally occlude a hydrosalpinx might be an alternative to laparoscopic proximal tubal occlusion or salpingectomy in patients with tubal disease planning IVF- ET.展开更多
文摘Objective: To describe proximal occlusion of a hydrosalpinx by hysteroscopic placement of a microinsert before IVF- ET. Design: Case report. Setting: Health maintenance organization and tertiary- care assisted reproductive technology unit. Patient(s): Obese, infertile woman with pelvic adhesive disease and unilateral hydrosalpinx. Intervention(s): Hysteroscopic placement of a microinsert into the proximal segment of a fallopian tube that was distally obstructed by hydrosalpinx. No intraoperative or postoperative complications occurred with hysteroscopic placement of microinsert. Main Outcome Mea- sure(s): Nonincisional proximal tubal occlusion under local anesthesia and intravenous sedation. Pregnancy by IVF- ET. Result(s): No intraoperative or postoperative complications with hysteroscopic placement of microinsert were seen. After uterine transfer of three embryos, dichorionic- diamniotic twins were delivered by cesarean section at 34 weeks of gestation. Conclusions(s): Hysteroscopic placement of a microinsert to proximally occlude a hydrosalpinx might be an alternative to laparoscopic proximal tubal occlusion or salpingectomy in patients with tubal disease planning IVF- ET.
