Tuboplasty/Tubal Surgery in the ERA of IVF

Abstract

Aim: The detach of this research was to expand the relatively limited database on the efficiency of tubal surgery for the treatment of female sterility in Pakistan.

Methodology: It was a qualitative descriptive series that took place at the Gynecology Unit of Ayub Teaching Hospital Abbottabad from May 2020 to April 2021. The research comprised 25 individuals who had tubal obstruction due to tubal illness or prior tubal ligation and were unwilling or unable to pay for assisted reproductive treatments. After a thorough assessment and evaluation of the pair, patients who presented with Fibroidectomy and azoospermia were eliminated from the research. Tuboplasty was performed on individuals utilizing open laparotomy procedures such as tubal excision and anastomosis, aerolysin, fimbriate, and salpingostomy. HSG examined the relatively brief result at three months and the lengthy result in the form of conceptions. The analytical program SPSS version 24 was used to look into the information. For constant factors like age and gender, standard deviations and means have been computed, whereas rates and percentages were determined for categorical data including such research outcomes.

Results: Absolute effectiveness was reported in 11 patients (53%), with 8 (36%) produced owing to restoration of sterilization,2 (9%) produced after a combined of acheilia's as well as fimbriate on one side and salpingostomy on the other, and the second three (19%) produced after fimbriate and adhesiolysis.

Conclusion: Tuboplasty proved effective in regaining fertility in individuals who were unable to afford IVF due to expense, societal standards, or religious principles.

Keywords: Tuboplasty, IVF, Subfertility, Tubal patency test.