Abstract
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.