title: [Fertility after laparoscopic treatment of ectopic pregnancy in a series of 138 patients].
abstract: OBJECTIVE
  To evaluate fertility after laparoscopic treatment of ectopic pregnancy (EP). To investigate factors influencing fertility and EP recurrence.
  
  
  METHODS
  Retrospective study of a series of 138 patients. Rate of intra uterine pregnancy, live births and recurrent EP were the main outcome measures. Subsequent fertility was assessed by calculating cumulative intrauterine pregnancy rates and were analyzed by log-rank tests and Cox regression.
  
  
  RESULTS
  The multivariate analysis showed a better rate of intra uterine pregnancy in patients with normal controlateral tube and in women younger than 30. The average time before conception was 11.5 months. After 18 months of infertility the intra-uterine pregnancy rate was low but the EP recurrence rate increased after 24 months. In this study there was no difference between radical and conservative surgery treatment.
  
  
  CONCLUSIONS
  Laparoscopy is useful in the management of ectopic pregnancy, especially in order to establish a prognosis for fertility.
authors.affiliation: Polyclinique Jean-Villar, avenue Maryse-Bastié, 33520 Bordeaux Bruges, Cedex, France. olivier.jourdain@wanadoo.fr
authors.forename: O
authors.initials: O
authors.lastname: Jourdain
authors.forename: V
authors.initials: V
authors.lastname: Hopirtean
authors.forename: H
authors.initials: H
authors.lastname: Saint-Amand
authors.forename: D
authors.initials: D
authors.lastname: Dallay
mesh_terms: D000293:Adolescent; D000328:Adult; D006063:Chorionic Gonadotropin / Q000032:analysis; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D005298:Fertility; D006801:Humans; D010535:Laparoscopy; D008727:Methotrexate / Q000627:therapeutic use; D015999:Multivariate Analysis; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome
chemical_list: D006063:Chorionic Gonadotropin; D008727:Methotrexate