Pregnancy outcome in patients with early recurrent abortion following laparoscopic tubal corneal interruption of a fallopian tube with hydrosalpinx.
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.
Zolghadri
Jaleh
J
Department of Obstetrics and Gynecology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. jzolghad@yahoo.com
Momtahan
Mozhdeh
M
Alborzi
Saeed
S
Mohammadinejad
Azita
A
Khosravi
Dezire
D
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*