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Tubal Surgery

The fallopian tube plays a critical role in conception as the site of ovum transport, sperm capacitation, fertilization, and embryo transport.1 The tube measures an estimated 9 to 11 cm, and narrows from the ciliated infundibulum and ampulla to the medial one-third of isthmus before funneling into the interstitial segment of the myometrium. The ampulla measures 5 to 9 cm and is necessary for fertilization and early embryogenesis.

Tubal disease is identified in up to 30% of couples undergoing an infertility investigation, and both reconstructive surgery and in vitro fertilization (IVF) are treatment options. In the past decade, IVF success rates have increased from 10% in the 1980s to more than 30% according to national data banks.3 In contrast, success rates for most forms of tubal surgery have remained relatively constant during the same interval.

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