Surgical management of tubal obstruction at the uterotubal junction.
The advantages of microsurgical anastomosis for cornual occlusion are evaluated in a series of 82 pure cases of pathologic cornual occlusion. The term pregnancy rate was 44% and the ectopic pregnancy rate was 7%. The following factors were found influencing the pregnancy rate: maximized tubal length; preserved intramural portion; absence of chronic inflammation; absence of tubal inclusions; absence of tubal endometriosis.
D002908:Chronic Disease; D004715:Endometriosis / Q000150:complications / Q000473:pathology / Q000601:surgery; D005184:Fallopian Tube Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005185:Fallopian Tube Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D008866:Microsurgery; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000453:epidemiology; D012488:Salpingitis / Q000150:complications / Q000473:pathology / Q000601:surgery