الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The aim of the work was to assess and evaluate the results of terminal tuboplasties using the operative laparoscopy and that was done along that study through:
1- Pre-operative assessment of the terminal tubal pathology using a standard tubal and pelvic adhesions classification system and that through both HSG and laparoscopic scoring system.
2- Post-operative re-assessment of the tubal and pelvic adhesions through both HSG and second look laparoscopy follow up three and six months later, in addition to the conceptual outcome.
We can conclude from this study that, provided that the surgeons are sufficiently experienced, laparoscopic surgery provides comparable results to microsurgery. The fertility results are directly governed by the condition of the experience and a traumatic technique of the surgeon.
Only patients with good tubes must be operated upon, with the rest being recommended for IVE. The main problem remains how to asses the functional qualities of the tubes. Our results make that possible with giving the tubes a standard score as previously discussed before. For lysis of pelvic adhesions, laparoscopic tubolasy has significant advantages over laparotomy. The former approach offers a brief hospital stay and a short operative time, with a maximum to 60 to 90 minutes in comparison with 4 to 6 hours for open microsurgical procedures.
Additional advantages include minimal physical stresses, a lower operative risk, a decreased incidence of post-operative adhesions, and possibility of being repeated if necessary. However, a word of caution is of the most important, operative lab. May be useful of the hands of skilled laparoscopists but probably will be determintal by those with average experience.