Laparoscopic repair of the prolapsed fallopian tube.

2 case reports, thought to be the first of their kind, describe an uncommon complication of hysterectomy, prolapsed fallopian tubes, and an even more unusual surgical remedy for the condition, laparoscopy. Case 1 was a 26-year-old female, gravida 3, para 2, who presented with extreme abdominal pain and dyspareunia lasting for several months. 4 years previously she had a complicated therapeutic abortion and sterilization, which led to a total hysterectomy. 8 months postoperatively she complained of abdominal pain, and biospy revealed fimbriated fallopian tube. 1 year after that, the patient returned with similar symptoms, and a histologic report of the vaginal apex was fallopian tube. 2 years later, on physical examination, a 2-cm bright red polypoid mass was visualized at the right side of th vaginal apex, and it was extremely tender. The patient was admitted to the hospital, and a diagnostic laparoscopy under general anesthesia was performed. The prolapsed fallopian tube was seen, and it was excised from the vaginal vault and returned to the peritoneal cavity during the diagnostic procedure. The operation took 40 minutes with minimal blood loss. Postoperatively the patient reports relief of abdominal pain and absence of dyspareunia. Case 2, a 44-year-old woman, complained of lower abdominal pain 4 weeks after a hysterectomy. Again, visual examination showed a bright red polypoid mass which was tender to touch. Because of the success of Case 1, a diagnositic laparoscopy was done, and, using the same techniques as Case 1, the patient had her prolapsed tube returned to the peritoneal cavity. 3 months postoperatively, Case 2 has no complaints.