title: Salpingectomy by operative laparoscopy and subsequent reproductive performance.
abstract: Between January 1984 and August 1991, 511 cases of extrauterine pregnancies were diagnosed by laparoscopy in our department. In 374 cases salpingectomy was performed: 184 by explorative laparotomy, and 190 by operative laparoscopy. Patients were scheduled for salpingectomy if one or more of the following criteria were fulfilled: (i) a ruptured tube which was surgically unsuitable for conservation; (ii) no interest in future fertility; (iii) tubes with ectopic gestation previously operated on; (iv) a previous tubal pregnancy on the same side, which was treated expectantly. Salpingectomy was performed via operative laparoscopy with bipolar diathermy forceps and laparoscopic scissors. Pregnancy rates, i.e. intra-uterine and repeat extra-uterine, were evaluated. The reproductive performance following salpingectomy did not differ significantly, whether by laparotomy or laparoscopy: the intra-uterine pregnancy rate was 78 and 64%, respectively and the repeat ectopic pregnancy rate was 12 and 6%, respectively. Salpingectomy via laparoscopy can be performed safely with a low incidence of complications, with subsequent reproductive performance comparable to laparotomy.
authors.affiliation: Department of Obstetrics and Gynaecology, Chaim Sheba Medical Centre, Tel Hashomer, Israel.
authors.forename: G
authors.initials: G
authors.lastname: Oelsner
authors.forename: M
authors.initials: M
authors.lastname: Goldenberg
authors.forename: D
authors.initials: D
authors.lastname: Admon
authors.forename: M
authors.initials: M
authors.lastname: Pansky
authors.forename: I
authors.initials: I
authors.lastname: Tur-Kaspa
authors.forename: O
authors.initials: O
authors.lastname: Rabinovitch
authors.forename: H J
authors.initials: HJ
authors.lastname: Carp
authors.forename: S
authors.initials: S
authors.lastname: Mashiach
mesh_terms: D000328:Adult; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000601:surgery*; D012098:Reproduction / Q000502:physiology*; D012189:Retrospective Studies; D016896:Treatment Outcome