(5) Fibrin sealant (Tisseel VH, Baxter Healthcare) has been reported to decrease the formation of adhesions after salpingostomy, salpingolysis
, and ovariolysis.
If the tubes are simply 'fixed' and struck down by adhesions all that may be required is to dissect the adhesions and free the tubes--the operation of salpingolysis
. Opening up the tubes that are blocked may be necessary--a comparatively simple procedure if the blockage is at the distal end of the tube, the operation of salpingosomy.
or salpingoovariolysis, which entails the removal of adhesions from around the tubes and/or ovaries, produces pregnancy rates between 50% and 72%, also with a 5% ectopic pregnancy rate.