title: Assessment of tubal disorder as a risk factor for repeat ectopic pregnancy after laparoscopic surgery for tubal pregnancy.
abstract: HEADING AIMS: We evaluated tubal disorders, including peritubal adhesions, as risk factors for repeat ectopic pregnancy (REP) after laparoscopic linear salpingotomy (LS) or salpingectomy for tubal pregnancy.
  
  
  METHODS
  This was a retrospective clinical study in a university hospital.
  
  
  RESULTS
  Of 43 women monitored for at least 6 months after LS, 28 (65%) subsequently conceived. In 24 (86%) of these women the pregnancy was intrauterine, and four (14%) had REP. Of 40 women with a unilateral tube monitored for at least 6 months after salpingectomy, 24 (60%) conceived. In 17 (71%) of these women the pregnancy was intrauterine, and seven (29%) had REP. There was no significant difference between groups in postoperative pregnancy or REP rates. There was no significant difference in the mean adhesion score by revised American Fertility Society stage points (re-AFS) at operation and the site of subsequent pregnancy in either the LS or the salpingectomy group, although the mean re-AFS score was significantly higher in women who had REP (3.1) than in those whose subsequent pregnancy was intrauterine (0.4).
  
  
  CONCLUSIONS
  There was no significant difference in postoperative pregnancy or REP rates following previous LS or salpingectomy. The re-AFS score appeared to be an accurate predictor of the prognosis of subsequent pregnancies.
authors.affiliation: Department of Obstetrics and Gynaecology, Juntendo University School of Medicine, Bunkyo-ku, Tokyo, Japan. arthur@juntendo.ac.jp
authors.forename: Keiji
authors.initials: K
authors.lastname: Kuroda
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Takeuchi
authors.forename: Mari
authors.initials: M
authors.lastname: Kitade
authors.forename: Iwaho
authors.initials: I
authors.lastname: Kikuchi
authors.forename: Hiroto
authors.initials: H
authors.lastname: Shimanuki
authors.forename: Jun
authors.initials: J
authors.lastname: Kumakiri
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kobayashi
authors.forename: Masako
authors.initials: M
authors.lastname: Kuroda
authors.forename: Satoru
authors.initials: S
authors.lastname: Takeda
mesh_terms: D000328:Adult; D005184:Fallopian Tube Diseases / Q000150:complications*; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000453:epidemiology*; D011274:Pregnancy, Tubal / Q000453:epidemiology / Q000601:surgery*; D012008:Recurrence; D012307:Risk Factors; D000267:Tissue Adhesions / Q000150:complications / Q000453:epidemiology