Pregnancy outcome following microsurgical fimbrioplasty.

A microsurgical technique of fimbrioplasty has been utilized in 40 patients operated on by the author. The subdivisions of deagglutination and incision of a peritoneal ring or tubal wall are described diagrammatically. Sixty-three percent of 35 patients who had a pure microsurgical fimbrioplasty conceived postoperatively. One of these 22 pregnancies was ectopic. In five patients who had a mixed procedure, all conceived postoperatively and one of five pregnancies was ectopic. Overall, pregnancy occurred in 68% of 40 patients. Uterine pregnancy was achieved in 63% and ectopic pregnancy in 5% of this series. It is of interest that 44% of those patients achieving a pregnancy did so within 3 months of surgery.