Is microsurgical preserving operation of tubal pregnancy sensible?

During the period from 1976 to 1986, 179 women were operated at the Department of Gynaecology of the University of Düsseldorf. In 112 patients conservative techniques were used to retain the Fallopian tube. Of these 112, a group of 24 patients had a functioning adnexa on only one side at the time of operation. The conceptions of these women were investigated. In 8 of these patients, an intrauterine pregnancy occurred. 6 of these 8 patients had a salpingotomy, 1 woman underwent resection with immediate anastomosis and in another case both Fallopian tubes were treated (left Fallopian tube: reanastomosis status post resection three years earlier, right Fallopian tube: immediate anastomosis). 7 patients had a repeat ectopic pregnancy. Of these cases, direct anastomosis was performed 5 times and salpingotomy twice. 7 patients did not fall pregnant again. The Fallopian tubes of 6 patients were found to be open upon subsequent examination, while only one was found to be closed. One patient could not be followed-up, and one had neither a subsequent examination nor became pregnant again.