Conservative Operative Treatment of Tubal Pregnancy with Postoperative Daily Hydrotubations

Conservative surgery in the form of incision and resuture of the tube was used in the treatment of 43 tubal pregnancies. Rheomacrodex®-Hydrocortisone®-Chymotrypsin® solution was introduced into the patient's abdominal cavity at operation to prevent the formation of adhesions. Using a little modified solution, daily hydrotubations via a Foley catheter placed in the uterine cavity were performed during the period in hospital. At the follow-up examination 24 of the 32 patients subjected to salpingography had completely patent tubes There were 26 pregnancies (60%) within the follow-up period of 4-40 months. Six of the 10 patients with only one remaining tube became pregnant during the follow-up period, and five children were born of these pregnancies. These patients had three extra-uterine pregnancies. The study indicated that conservative extra-uterine therapy combined with hydrotubation therapy to prevent adhesions gives better results than conservative therapy alone as reported previously.