{"id":8053,"date":"2026-07-20T12:14:32","date_gmt":"2026-07-20T10:14:32","guid":{"rendered":"https:\/\/juanacrespo.com\/?post_type=caso&p=8053"},"modified":"2026-07-20T12:25:19","modified_gmt":"2026-07-20T10:25:19","slug":"full-term-newborn-following-tubal-occlusion-with-tissel-in-a-patient-with-bilateral-hydrosalpinx","status":"publish","type":"caso","link":"https:\/\/juanacrespo.com\/en\/case\/full-term-newborn-following-tubal-occlusion-with-tissel-in-a-patient-with-bilateral-hydrosalpinx\/","title":{"rendered":"Full-Term Newborn Following Tubal Occlusion with Tissel in a Patient with Bilateral Hydrosalpinx"},"content":{"rendered":"

Abstract<\/strong><\/p>\n

We present the case of a 33-year-old female patient who was diagnosed with and treated for necrotizing enterocolitis<\/strong>, requiring multiple surgeries and resulting in retractile abdominal scarring.<\/p>\n

\"\"<\/p>\n

 <\/p>\n

The patient had been diagnosed with bilateral hydrosalpinx<\/strong>, along with a uterus containing fibroids<\/strong> and in retroversion, presenting a high surgical risk<\/strong> for any procedure.<\/p>\n

Consequently, the proposed strategy involved a two-stage hysteroscopic procedure: one to correct the arcuate uterus<\/strong> and a second to perform tubal occlusion using the Tissel method.<\/strong><\/p>\n

Minimally invasive surgery <\/strong>made it possible to overcome a complex clinical scenario which, together with egg donation<\/a>, resulted in a successful pregnancy culminating in the birth of a healthy, full-term newborn.<\/p>\n

 <\/p>\n

Background:<\/strong><\/h3>\n

The 33-year-old patient had a particularly complex medical history. She was born prematurely at 29 weeks\u2019 gestation and underwent several laparotomies as a result of necrotizing enterocolitis.<\/strong><\/p>\n

These procedures resulted in a significant surgical risk,<\/strong> meaning that any new surgery on the abdominal or pelvic area had to be evaluated with extreme caution and precluded the possibility of performing an oocyte retrieval.<\/strong><\/p>\n

In addition, she had a diagnosed bilateral hydrosalpinx<\/strong>, although the standard surgical approach for this condition was not recommended due to potential complications.<\/p>\n

Before coming to our center, she had undergone two cycles of egg donation<\/a>. In the first cycle, embryonic arrest occurred, and no transfer was performed. In the second cycle, two embryo transfers<\/a> were performed: the first resulted in a pregnancy that ended in miscarriage, and the second, in which two embryos were transferred, did not result in a pregnancy.<\/p>\n

Diagnosis:<\/strong><\/h3>\n

Low ovarian reserve, bilateral hydrosalpinx, arcuate uterus with intramural fibroids.<\/p>\n

Following an initial visit, she was diagnosed with low ovarian reserve<\/a>,<\/strong> ovaries that were difficult to access due to previous surgeries, and a high body mass index.<\/p>\n

Furthermore, the evaluation confirmed the persistence of bilateral hydrosalpinx and the presence of an arcuate uterus.<\/p>\n

It was necessary to correct these conditions; however, the patient\u2019s surgical history made a conventional surgical approach for hydrosalpinx inadvisable.<\/p>\n

Treatment Strategy:<\/strong><\/h3>\n