CHIRURGIA E MICROCHIRURGIA NELLA TERAPIA DELLA STERILITA TUBARICA

For a successful management of tuboplasty operable patients must be restrictively selected; non salvageable cases must be excluded. An accurate morphofunctional study by kimographic utero-tubaric insufflation, histosalpingography, and percelioscopic salpingocromoscopy must be performed. The surgical technique is of primary importance. Skillfulness and gentle tubal handling are necessary. The surgical technique must be decided at open abdomen, so that the tubes can be accurately evaluated. Complementary management and postoperative course largely influence the results. Microsurgery by the use of a surgical microscope has only recently been introduced in ginecological practice, but no better results than with classic surgery in skilled hand are reported. 80 cases surgically managed at the 'L. Mangiagalli' Institute, 1st Obstetric and Gynecological Clinic, between 1967-1976 are reported. The results are 40.5% of patency and 24.6% of pregnancies; in accord with the literature. An outstanding feature is the high percentage (21.25%) of tuberculous salpingitis in our cases.