Infertility surgery of the oviduct: comparison between macrosurgery and microsurgery.

The purpose of this study is to compare the results of macrosurgical and microsurgical tuboplasty procedures performed on infertility patients after other causes of their infertility were ruled out. During a 6-year period from July 1971 through June 1977, 128 macrosurgical tuboplasties were performed, and from July 1977 through July 1979, 73 cases of microsurgical procedures were performed. The senior author was the actual or first assistant surgeon in every case. For comparison, the procedures performed were divided into seven categories: salpingolysis, fimbrioplasty, salpingoneostomy, midsegment anastomosis, tubouterine anastomosis, tubouterine implantation, and combined procedures. The results of both groups were analyzed and compared. Use of the microscope improved results in all categories, particularly in anastomosis procedures. It is concluded that the microscopic techniques have a definite advantage and are recommended for use in all tuboplasty procedures.