Clinical Effectiveness of Modified Laparoscopic Fimbrioplasty for the Treatment of Minimal XXXX .

@entity1 @entity3517 @entity249 @entity46
Objective. To study the reproductive outcomes of @entity3517 ( @entity3517 ), a surgical technique designed to increase the working surface area of the fimbriated end of the fallopian tube. We postulated that an improvement in fimbrial function through @entity3517 will improve reproductive outcomes. Design. Retrospective cohort study. Setting. Academic tertiary-care medical center. @entity1 . @entity1 with minimal @entity46 or @entity249 , who underwent @entity3517 during diagnostic laparoscopy (n = 50) or diagnostic laparoscopy alone (n = 87). Intervention. @entity3517 involved gentle, circumferential dilatation of the fimbria and lysis of fimbrial adhesions bridging the fimbrial folds. Main Outcome Measures. The primary outcome was pregnancy rate and the secondary outcome was time to pregnancy. Results. The pregnancy rate for the @entity3517 group was 40.0%, compared to 28.7% for the control group. The average time to pregnancy for the @entity3517 group was 13 weeks, compared to 18 weeks for the control group. The pregnancy rate in the @entity3517 group was significantly higher for @entity1  <=35   ys (51.5% versus 28.8%), but not for those >35   ys (17.6% versus 28.6%). Conclusion. @entity3517 was associated with a significant increase in pregnancy rate for @entity1  <=35   ys.
