2ND-LOOK LAPAROSCOPY AFTER TUBAL PERFORAT ION WITH A TUBOSCOPE

In recent years, falloposcopic visualization of the tubal lumen has be come a topic of great interest. The development of a linear everting c atheter system (Imagyn Medical Inc., Laguna Niguel, Calif., USA) allow s cannulation of the fallopian tubes without exerting shear forces upo n the tubal epithelium. We report the findings of a second-look laparo scopy after accidental tubal perforation at falloposcopy. Second-look laparoscopy was performed in a patient 6 months after tubal perforatio n with the falloposcope and no adhesions or signs of inflammation coul d be detected. On chromopertubation, no tubal fistula was found to be present. Two months after treatment, the patient got pregnant spontane ously. Pregnancy and delivery were without any complications. We concl ude that the technique of falloposcopy provides a safe access to the e ndotubal lumen. Even a perforation created by the microendoscope does not appear to be associated with any long-term complications.