CO2 laser laparoscopic surgery: fimbrioplasty, salpingoneostomy and adhesiolysis

New perspectives have emerged in the management of distal tubal occlusion from the tremendous advances gained in the field of assisted reproduction technology and in operative endoscopy techniques. With regard to surgery, it has been demonstrated, on numerous occasions that classic microsurgery and laparoscopic surgery show comparable results in terms of pregnancy rates. There is no doubt that the crucial issue in the surgical management of distal tubal occlusion is the proper selection of patients according to a set of strict criteria, which have prognostic value in determining the chances of postoperative conception.