title: Pregnancy outcome in patients with early recurrent abortion following laparoscopic tubal corneal interruption of a fallopian tube with hydrosalpinx.
abstract: OBJECTIVE
  To investigate the outcome of pregnancy following laparoscopic unilateral tubal fulguration of hydrosalpinges in patients with recurrent spontaneous early abortion.
  
  
  METHODS
  Prospective randomized controlled trial.
  
  
  METHODS
  University tertiary center.
  
  
  METHODS
  Thirteen patients with history of unexplained recurrent early spontaneous abortion and a unilateral hydrosalpinx diagnosed by sonography and hysterosalpingography in whom other causes of abortion were excluded.
  
  
  METHODS
  The treatment group (group I) consisted of seven women who underwent laparoscopic unilateral tubal fulguration. The control group (group II) consisted of six patients for whom no surgical intervention was performed.
  
  
  METHODS
  Continuation of pregnancy over first trimester.
  
  
  RESULTS
  Six patients in the treatment group and five in the control group conceived. Five patients in the treatment group and none in the control group had pregnancy beyond the first trimester and finally reached 36-40 weeks gestational age (P=.02).
  
  
  CONCLUSIONS
  Laparoscopic tubal fulguration improves pregnancy outcome in selected patients with previous recurrent early abortion and a unilateral hydrosalpinx.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. jzolghad@yahoo.com
authors.forename: Jaleh
authors.initials: J
authors.lastname: Zolghadri
authors.forename: Mozhdeh
authors.initials: M
authors.lastname: Momtahan
authors.forename: Saeed
authors.initials: S
authors.lastname: Alborzi
authors.forename: Azita
authors.initials: A
authors.lastname: Mohammadinejad
authors.forename: Dezire
authors.initials: D
authors.lastname: Khosravi
mesh_terms: D000026:Abortion, Habitual / Q000453:epidemiology* / Q000517:prevention & control*; D000328:Adult; D015897:Comorbidity; D004564:Electrocoagulation / Q000706:statistics & numerical data*; D005184:Fallopian Tube Diseases / Q000453:epidemiology* / Q000601:surgery*; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007492:Iran / Q000453:epidemiology; D010535:Laparoscopy / Q000706:statistics & numerical data*; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*