Uterine rupture following tubal reimplantation. Review of the literature and report of three additional cases.

Uterotubal implantation has been employed for the treatment of infertility since 1896. Over the years, the surgery has evolved from a rather crude procedure to one involving the use of reamers, splints, steroids, antibiotics, and occasionally microsurgery. Although successes have been noteworthy, since 1934 the procedure has been associated with significant morbidity and mortality due to uterine rupture. The present paper adds three new cases to the literature of postoperative rupture, including one case involving a patient who had the procedure done twice. Methods of prophylaxis are suggested.