The Medical and Surgical Practice of NaProTECHNOLOGY, 1045-1056, 2004
Proximal tubal occlusion at the uterotubal junction, whether from salpingitis isthmica nodosa, fibrosis, or prior sterilization, requires cornual resection and microsurgical tubal reimplantation to re-establish luminal continuity. NaProTECHNOLOGY treats this as a reconstructive procedure rather than a reason to defer to IVF, and outcomes data support intrauterine pregnancy rates comparable to assisted reproduction in appropriately selected patients.
Hilgers, T. W. (2004). Chapter 77: PEARS for the Fallopian Tubes: Proximal Tubal Occlusion with Tubal Reimplantation. *The Medical and Surgical Practice of NaProTECHNOLOGY*, 1045-1056.
Hilgers TW. Chapter 77: PEARS for the Fallopian Tubes: Proximal Tubal Occlusion with Tubal Reimplantation. The Medical and Surgical Practice of NaProTECHNOLOGY. 2004:1045-1056.