Laparoscopic treatment of tubal pregnancy.
Seventeen tubal pregnancies were treated successfully with a laparoscopic procedure over the past four years. Four different laparoscopic techniques were used: salpingectomy, partial salpingectomy (midtube resection), fimbrial expression, and salpingotomy. "Preventive hemostasis" using vasopressin has made salpingotomy our treatment method of choice. Ruptured tubal pregnancy was not considered a contraindication to laparoscopic treatment. Four of the six women who were trying to conceive and were followed for longer than six months have had documented intrauterine pregnancies; one woman subsequently developed a contralateral tubal pregnancy which was treated by laparoscopic salpingotomy. Tubal ectopic pregnancy, even in the presence of rupture, can be managed effectively by a variety of laparoscopic techniques with benefits including minimal incision, short hospitalization, early return to full activity, and in many cases, a patent tube.
D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006488:Hemostasis, Surgical; D006801:Humans; D010535:Laparoscopy; D008722:Methods; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000601:surgery*; D012008:Recurrence; D012422:Rupture, Spontaneous; D007507:Therapeutic Irrigation; D014667:Vasopressins / Q000008:administration & dosage
D014667:Vasopressins