Reproductive Biomedicine Online, 23(1), 53-62
The diminished role of tubal surgery in infertile women following widespread access to IVF is now being reviewed as more patients and surgeons today consider tubal surgery as an effective alternative to assisted reproduction treatment in certain circumstances. The limitations of and lack of patient acceptance of assisted reproduction treatment for ethical and moral reasons have contributed to this change as well as advances in surgical techniques and instrument technology, notably developments in endoscopic surgery. Strategies in tubal surgery are largely unchanged but the mini-invasive nature of the endoscopic approach has added value because of less tissue trauma, better visualization of the operative field and more rapid healing, which make surgery using today's techniques an integral part of the treatment strategy in infertile couples.
watrelot, A., & Chauvin G (2011). Current practice in tubal surgery and adhesion management: a review. *Reproductive biomedicine online*, *23*(1), 53-62. https://doi.org/10.1016/j.rbmo.2011.03.018
watrelot A, Chauvin G. Current practice in tubal surgery and adhesion management: a review. Reprod Biomed Online. 2011;23(1):53-62. doi:10.1016/j.rbmo.2011.03.018
watrelot, antoine, and Chauvin G. "Current practice in tubal surgery and adhesion management: a review." *Reproductive biomedicine online*, vol. 23, no. 1, 2011, pp. 53-62.