[Wound closure of the fallopian tube with fibrin glue: endoscopic organ preserving therapy of extrauterine pregnancy].
OBJECTIVE
In a follow-up study, women with ectopic pregnancies were treated laparoscopically by closing the salpingostomy wound with a fibrin sealant. Their postoperative pregnancy rates and operative results were compared with those of established techniques.


METHODS
Ectopic pregnancies were removed by salpingostomy, and the wound was sealed by dripping a fibrin glue onto the (approximated) wound edges.


RESULTS
Following salpingostomy and consecutive sealing of the wound, 59 women still wanted to have a baby. Pregnancies occurred in 92%. Intrauterine pregnancies were found in 61%, the relapse rate on the operated side was 15%. After the operation, 5 patients had a second ectopic pregnancy before or after a normal one. In case of the presence of only one or both operated tubes, the intrauterine pregnancy rate was 77% and the relapse rate 11%. All pregnancies were obtained without any medical help, and 41 women (69%) had a healthy baby.


CONCLUSIONS
The simple fibrin sealing technique yielded results comparable to those of the techniques established so far.
Rudelstorfer
B
B
A. ö. Krankenhaus, Hallein, Osterreich.
Loidl
K
K
Heider
R
R
D000328:Adult; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy; D011183:Postoperative Complications / Q000209:etiology; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000601:surgery*; D012008:Recurrence