••• Chapter 57^ Laparoscopy and Infertility Surgery^573
❍ What is the condition seen below?
This is a longitudinal vaginal septum. Surgical removal is indicated with complaints of dyspareunia. This is also
associated with duplication of the cervix and uterus.❍ How is proximal tubal occlusion corrected?
With either fluoroscopic or hysteroscopic fallopian tube catheterization.
❍ Describe the technique that is used to treat the condition seen below.
Hydrosalpinx is pictured. Radial incisions are made in the distal tube. The flaps are then folded back onto the
tubal serosa either by heat (Bruhat technique) or sutures. Otherwise consider salpingectomy and proceed with IVF.