Successful pregnancy outcome following removal of bilateral cornual polyps by microsurgical linear salpingotomy with the aid of the CO2 laser.

Various surgical approaches have been advanced to treat cornual obstruction secondary to intraluminal polyps. This case illustrates microsurgical principles incorporating the CO2 laser to maximize the preservation of normal uterotubal anatomy and function after excising large bilateral cornual polyps and multiple uterine myomata and vaporizing endometriosis and pelvic adhesions. The subsequent conception and delivery of a viable full-term infant demonstrates the efficacy of this new approach. Additional studies are warranted to further evaluate the role of microsurgical linear salpingotomy with the CO2 laser in the treatment of cornual polyps to enhance fertility.