Tubocornual anastomosis: surgical considerations and coexistent infertility factors in determining the prognosis

• Published in: Fertility and sterility Vol. 51; no. 2; pp. 241 - 246
• Main Authors: Gillett, Wayne R., Peter Herbison, G.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.02.1989; Elsevier Science
• Subjects: Adult; Anastomosis, Surgical; Biological and medical sciences; Birth control; Fallopian Tubes - surgery; Female; Gynecology. Andrology. Obstetrics; Humans; Infertility, Female - surgery; Medical sciences; Pregnancy; Pregnancy Outcome; Prognosis; Sterility. Assisted procreation; Uterus - surgery; Human; Prognosis; Treatment; Uterus; Surgery; Surgical anastomosis; Female; Female sterility; Adnexal diseases; Fallopian tube; Female genital diseases
• ISSN: 0015-0282; 1556-5653
• DOI: 10.1016/S0015-0282(16)60484-3

To assess factors that may alter the pregnancy rate in women undergoing tubocornual anastomosis, the cases of 42 women were studied. Because a combination of surgical procedures was performed, the operative side deemed to be the best side was distinguished from the other side. The overall cumulative normal pregnancy rate was 56.0% after 2years. Deep resection of the intramural tube and cases with technical difficulty had a reduced pregnancy rate. Neither the cornual pathology nor the presence of adnexal adhesions adversely affected the pregnancy rate. Associated infertility factors reduced the chances of conceiving. These factors should give a reliable prognosis to aid in the direction of postoperative management, particularly with regard to in vitro fertilization.