DOI: https://doi.org/10.36347/sasjm.2026.v12i06.014

Pages: 649-655

Introduction: Tubal infertility is a major cause of female infertility. Laparoscopic surgery, thanks to its diagnostic and therapeutic advantages, plays an important role in its management, particularly through tubal plasty. Objective: To evaluate the results in terms of fertility after laparoscopic neosalpingostomy in patients operated on for tubal infertility. Patients and methods: This was a descriptive study conducted over a period of 8 years which included 517 cases of laparoscopic surgery, including 231 laparoscopic -gynecological interventions. Results: A total of 50 patients underwent neosalpingostomy for tubal obstruction, representing 9.67% of all laparoscopic surgeries and 21.64% of all gynecological laparoscopic procedures. The mean age of the patients was 30.72 years. Housewives accounted for 58% of cases, and the majority of patients (88%) came from Bamako. The most common medical histories were myomectomy (28%) and ectopic pregnancy (14%). Hysterosalpingography revealed distal tubal obstruction in 76% of cases. Pelvic adhesions were found in 56% of patients. Neosalpingostomy was performed bilaterally in 60% of cases, with bilateral postoperative tubal patency achieved in 40%. The length of hospital stay was two days or less in 82% of cases. From a reproductive standpoint, 12 patients, or 24%, achieved pregnancy after the procedure. Conclusion: Neosalpingostomy under laparoscopy represents an effective therapeutic option in the management of tubal infertility, with low morbidity and encouraging reproductive results.