title: Reproductive outcome after laparoscopic instillation of hyperosmolar glucose into unruptured tubal pregnancies.
abstract: OBJECTIVE
  To determine intrauterine and ectopic pregnancy rates after local instillation of 50% glucose into unruptured tubal pregnancies.
  
  
  METHODS
  Retrospective cohort of 183 patients, who were observed for 16 to 108 months (median, 64 months).
  
  
  METHODS
  University hospital.
  
  
  METHODS
  One hundred eighty-three women who underwent laparoscopic instillation of hyperosmolar glucose for unruptured tubal pregnancies.
  
  
  METHODS
  Completion of questionnaires.
  
  
  METHODS
  Pregnancy rate, tubal recurrence rate.
  
  
  RESULTS
  A total of 124 women returned the questionnaire and had a desire for spontaneous conception. The conception rate and the intrauterine pregnancy rate were 79% and 73%, respectively. Seventy percent of all women with desire for spontaneous conception had live births. The rate of subsequent ectopic pregnancies was 12%. Tubal patency of the treated tube was demonstrated in 69% of 39 women at hysterosalpingography.
  
  
  CONCLUSIONS
  The long-term prognosis for conception after laparoscopic instillation of hyperosmolar glucose for unruptured tubal pregnancy is favorable and comparable to that of other conservative treatments.
authors.affiliation: Department of Obstetrics and Gynecology, University of Graz, Graz, Austria. giuliani@kfunigraz.ac.at
authors.forename: A
authors.initials: A
authors.lastname: Giuliani
authors.forename: W
authors.initials: W
authors.lastname: Hoenigl
authors.forename: W
authors.initials: W
authors.lastname: Schoell
authors.forename: K
authors.initials: K
authors.lastname: Tamussino
authors.forename: G
authors.initials: G
authors.lastname: Arikan
authors.forename: P F
authors.initials: PF
authors.lastname: Lang
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D005950:Glucose Solution, Hypertonic / Q000627:therapeutic use*; D006801:Humans; D010535:Laparoscopy; D017063:Outcome Assessment, Health Care; D011247:Pregnancy; D018873:Pregnancy Rate; D011274:Pregnancy, Tubal / Q000628:therapy*; D011379:Prognosis; D012189:Retrospective Studies; D011795:Surveys and Questionnaires
chemical_list: D005950:Glucose Solution, Hypertonic