Fertility outcome after treatment of tubal pregnancy by laparoscopic laser surgery.
In 150 women with tubal pregnancy consecutively treated over a two year period by laparoscopic techniques, 74 were treated conservatively by linear salpingotomy with carbon dioxide laser laparoscopy and 76 cases non-conservatively through the laparoscope by salpingectomy. Between 15 and 37 months later all patients were contacted by means of questionnaires to evaluate subsequent fertility outcome. Sixty-six percent (38/58) of those women who desired pregnancy after conservative laparoscopic treatment achieved an intrauterine pregnancy. The corresponding rate for women who desired pregnancy after salpingectomy was 45% (18/40). The recurrent ectopic pregnancy rates in the two groups were 7% (4/58) and 10% (4/40), respectively. This study confirms that tubal pregnancy can be appropriately managed by laparoscopic laser surgery with the advantages of minimal invasive techniques.
Langebrekke
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Department of Gynecology and Obstetrics, Akershus Central Hospital, Nordbyhagen, Norway.
Sørnes
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Urnes
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D005260:Female; D005298:Fertility; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D053685:Laser Therapy / Q000379:methods; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology; D011274:Pregnancy, Tubal / Q000601:surgery*; D011795:Surveys and Questionnaires