Cornual Resection and Tubal Reimplantation
Cornual resection and tubal reimplantation is surgery that takes out the blocked inner end of a fallopian tube and sets the healthy rest of the tube back into the wall of the uterus. The block sits where the tube meets the uterus. NaProTECHNOLOGY does the operation within PEARS.
A block there has several causes: endometriosis in the first stretch of the tube, a knotty swelling called salpingitis isthmica nodosa, a channel narrow from birth, and scarring after infection1. Gentler options come first. Opening the tube from inside through the cervix, called tubal cannulation, succeeds in 71 to 92 percent of attempts, though far fewer conceive after it2.
The aim is a working tube. A repaired tube can carry more than one pregnancy without further surgery2. Some cannulated tubes close again and need another procedure.
Cited in this entry
- Hilgers TW. Chapter 77: PEARS for the Fallopian Tubes: Proximal Tubal Occlusion with Tubal Reimplantation. The Medical and Surgical Practice of NaProTECHNOLOGY. 2004. /library/chapter-77-pears-for-the-fallopian-tubes-proximal-tubal-occlusion-with-tubal-recbj24dhjvihvkan
- Nolan W, Whittaker NM. Tuboplasty. Textbook of Minimally Invasive Gynecologic Surgery. 2026. https://doi.org/10.1201/9781003312109-33
This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.
