[The clinical picture of endoscopically treated extrauterine pregnancy. Postoperative follow-up of 677 endoscopically operated extrauterine pregnancies 1983-1993].
677 ectopic pregnancies were treated by laparoscopy from 1983-1993. Complications in 26 cases led to a second laparoscopic intervention; these complications are analysed to access the advantages and risks of this new procedure. The postoperative HCG blood levels were observed and salpingectomy vs. organ-preserving techniques compared. 30 cases of postoperative HCG-increases and 19 cases with operative treatment of residual trophoblast are also analysed. Endoscopic salpingectomy of tubal pregnancies is a safe procedure with a very low complication rate. Organ-preserving treatment of tubal pregnancies via laparoscopy has a critical complication range of 7-9%. This should be considered for the choice of the operating procedure and the patient should be informed of the risks and their frequency.
Zöckler
R
R
Abteilung für Gynäkologie der Frauenklinik des Krankenhauses Berlin-Neukölln.
Dressler
F
F
Raatz
D
D
Börner
P
P
D000328:Adult; D006063:Chorionic Gonadotropin; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000601:surgery*; D011274:Pregnancy, Tubal / Q000601:surgery; D012086:Reoperation
D006063:Chorionic Gonadotropin