CPT® Code 58672

A laparoscopic fimbrioplasty is a minimally invasive surgical procedure aimed at correcting abnormalities of the fimbriae, which are the finger-like projections at the end of the fallopian tubes. This procedure is particularly indicated for conditions such as agglutination or clubbing of the fimbriae, which can impede the normal function of the fallopian tubes, as well as for the presence of filmy adhesions or hydrosalpinx, where fluid accumulates in the fallopian tube without complete closure of the ostium. The procedure begins with the creation of a small incision below the umbilicus, through which a trocar is inserted to allow access to the abdominal cavity. Once the laparoscope is in place, the surgeon establishes pneumoperitoneum by inflating the abdominal cavity with air, enabling a clear view of the internal structures. The surgeon then inspects the abdominal cavity, uterus, fallopian tubes, and ovaries for any abnormalities. Additional incisions are made to introduce surgical instruments necessary for the procedure. The fallopian tube may be distended with a dye solution to facilitate the identification of blockages. The surgical steps involve lysing adhesions, opening the clubbed end of the fallopian tube, and repairing the fimbriae to restore their function, which is crucial for fertility. Techniques such as ostial stretching, deagglutination, and lysis of perifimbrial adhesions may also be employed to enhance the success of the procedure.