Pregnancy following tubocornual anastomosis

G. Lavy, Michael Peter Diamond, A. H. DeCherney

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

We have reviewed the pregnancy rate and outcome of 25 patients who underwent tubocornual anastomosis for correction of proximal tubal occlusion at Yale-New Haven Hospital between 1977 and 1981. Tubal occlusion was the result of previous tubal sterilization in 17 patients (11 laparoscopic electrocautery and 6 tubal ligation) and previous tubal infection in 8. Fourteen of the patients conceived (56%). Viable pregnancy was achieved in nine patients (36%) and tubal pregnancy in three (12%). No significant difference in pregnancy rates was found between patients with diseased cornua and those previously sterilized by either electrocautery or tubal ligation. Tubal length of ≥ 4 cm following corrective surgery as compared with ≤ 4 cm did not influence pregnancy rates. The patients with the shorter oviducts had a higher rate of early pregnancy wastage. All three tubal pregnancies occurred in patients with reoccluded fallopian tubes as demonstrated by a hysterosalpingogram. We conclude that tubocornual anastomosis still remains the treatment of choice for patients with proximal tubal obstruction.

Original languageEnglish (US)
Pages (from-to)21-25
Number of pages5
JournalFertility and Sterility
Volume46
Issue number1
DOIs
StatePublished - Jan 1 1986
Externally publishedYes

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Tubal Sterilization
Pregnancy
Pregnancy Rate
Tubal Pregnancy
Electrocoagulation
Fallopian Tube Diseases
Oviducts
Fallopian Tubes
Pregnancy Outcome
Infection

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Pregnancy following tubocornual anastomosis. / Lavy, G.; Diamond, Michael Peter; DeCherney, A. H.

In: Fertility and Sterility, Vol. 46, No. 1, 01.01.1986, p. 21-25.

Research output: Contribution to journalArticle

Lavy, G. ; Diamond, Michael Peter ; DeCherney, A. H. / Pregnancy following tubocornual anastomosis. In: Fertility and Sterility. 1986 ; Vol. 46, No. 1. pp. 21-25.
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