CONSERVATIVE SURGICAL MANAGEMENT OF TUBAL PREGNANCY

Abstract

In an attempt to maintain optimal fertility in the patient treated for midtubal pregnancy, an investigation of conservative surgical procedure was made. The technique developed utilizes tubal excision, reanastomosis and a single hydrotubation with Dextran. Tubal patency was maintained without the use of stents that may damage the fimbria. The procedure is compared to other conservative techniques and its advantages discussed. Thus far 2 patients have undergone this excision and reanastomosis, and both patients successfully established intrauterine gestations within 2 mo. of returning to normal active coital frequency.