Reproductive outcome following conservative surgery for tubal pregnancy in women with a single fallopian tube.
Between the years 1974 and 1980, 13 patients underwent a conservative (salpingotomy) surgical procedure for tubal pregnancy in their only fallopian tube. In this group, one patient has been lost to follow-up, and one has intentionally avoided pregnancy, although tubal patency was documented by hysterosalpingogram. All the remaining patients have had at least one term pregnancy. The diagnosis was confirmed in all instances by laparoscopy prior to laparotomy. In 11 patients, the ectopic pregnancy was unruptured. One ectopic pregnancy had ruptured and one had resulted in a tubal abortion. All patients underwent essentially the same conservative procedure, performed by the same surgical team, with close adherence to the principles of microsurgery. This technique is described in detail. Since each of these patients had only one tube, this report reaffirms the value of conservative surgery for tubal pregnancy.
D000328:Adult; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008866:Microsurgery / Q000379:methods; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000175:diagnosis / Q000601:surgery*; D012422:Rupture, Spontaneous