Objective: To describe proximal occlusion of a hydrosalpinx by hysteroscopic placement of a microinsert before IVF-ET.
Design: Case report.
Setting: Health maintenance organization and tertiary-care assisted reproductive technology unit.
Patient(s): Obese, infertile woman with pelvic adhesive disease and unilateral hydrosalpinx.
Intervention(s): Hysteroscopic placement of a microinsert into the proximal segment of a fallopian tube that was distally obstructed by hydrosalpinx. No intraoperative or postoperative complications occurred with hysteroscopic placement of microinsert.
Main Outcome Measure(s): Nonincisional proximal tubal occlusion under local anesthesia and intravenous sedation. Pregnancy by IVF-ET.
Result(s): No intraoperative or postoperative complications with hysteroscopic placement of microinsert were seen. After uterine transfer of three embryos, dichorionic-diamniotic twins were delivered by cesarean section at 34 weeks of gestation.
Conclusions(s): Hysteroscopic placement of a microinsert to proximally occlude a hydrosalpinx might be an alternative to laparoscopic proximal tubal occlusion or salpingectomy in patients with tubal disease planning IVF-ET.
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