Recent Advances in the Surgery of Infertility*

Because of the use of antibiotics to treat pelvic infections, the presenting patient with tubal infertility more frequently shows occluded tubes due to adhesions, rather than other forms of pelvic pathology, and this condition is more operable for reversing the sterility than others. The present report is of a series of "50 consecutive operations on intelligent and often beautiful young women" with the "essential clinical interest that there is no palpable tubal pathology." 9 figures accompany the textual presentation of surgical procedures appropriate for reversing infertile conditions caused by hydrosalpinx, endometriosis, tuberculosis, Stein-Levanthal syndrome, and habitual abortions. 3 procedures are discussed: 1) uterine retroversion concommittant with insertion of a prosthetic device in the damaged fallopian tube; 2) tubo-uterine implantation; and 3) x-ray therapy.