Obstet Gynecol Sci.  2016 Nov;59(6):512-518. 10.5468/ogs.2016.59.6.512.

Laparoscopic tube-preserving surgical procedures for ectopic tubal pregnancy

• Song T
• Lee DH
• Kim HC
• Seong SJ

• KMID: 2378576
• DOI: http://doi.org/10.5468/ogs.2016.59.6.512

Abstract

OBJECTIVE
To present our experience with laparoscopic tube-preserving surgery for ectopic tubal pregnancy and evaluate its feasibility and efficacy.
METHODS
This was a prospective study of 57 consecutive patients with ectopic tubal pregnancies undergoing laparoscopic tube-preserving procedures including salpingotomy, salpingostomy, segmental resection and reanastomosis, and fimbrial milking. The outcome measures were treatment success rates and homolateral patency rates.
RESULTS
Of the 57 surgical procedures, 55 (96.4%) were performed successfully without any additional intervention. The number of patients receiving salpingotomy, salpingostomy, segmental resection and reanastomosis, and fimbrial milking were 24 (42.1%), 25 (43.9%), 4 (7.0%), and 2 (3.5%), respectively. Two case was switched to salpingectomy because excessive bipolar coagulation was required to obtain hemostasis at the tubal bleeding bed. Over a mean β-human chorionic gonadotropin resolution time of 18.3±5.9 days, no persistent trophoblast or postoperative complications occurred. A tubal patency test using hysterosalpingography was performed in 15 cases at 3 months postoperatively. Among these, the homolateral tubal patency rate was 75% (11 of 15) and the contralateral patency rate was 80% (12 of 15).
CONCLUSION
Tube-preserving surgery is a feasible and safe treatment option for ectopic tubal pregnancy. However, considering that the optimal goal of tube-preserving surgical procedures is not the treatment success, some caution is warranted in interpreting results of this study.

Keyword

Ectopic pregnancy; Salpingectomy; Salpingostomy; Tubal pregnancy

MeSH Terms

Chorionic Gonadotropin
Female
Hemorrhage
Hemostasis
Humans
Hysterosalpingography
Milk
Outcome Assessment (Health Care)
Postoperative Complications
Pregnancy
Pregnancy, Ectopic
Pregnancy, Tubal*
Prospective Studies
Salpingectomy
Salpingostomy
Trophoblasts
Chorionic Gonadotropin

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