title: Persistent ectopic pregnancy after laparoscopic salpingotomy: a manageable complication to preserve reproductive tubal function.
abstract: OBJECTIVE
  We evaluated whether or not persistent ectopic pregnancy (PEP) is a preventable complication after conservative laparoscopic surgery (salpingotomy) for tubal pregnancy.
  
  
  METHODS
  We reviewed the medical records of 139 patients who underwent salpingotomy between December 1992 and December 2008.
  
  
  RESULTS
  Out of 139 patients, 23 (16.5%) were diagnosed with a PEP after salpingotomy. When compared with 114 (82.5%) successfully treated patients, there were no differences in preoperative features (gestational age, serum human chorionic gonadotropin [hCG] levels, and ultrasonography findings ) and postoperative reproductive potentials (ipsilateral tubal patency and pregnancy outcomes).
  
  
  CONCLUSIONS
  PEP, when appropriately treated, does not adversely affect tubal functions and postoperative fertility. We should uniformly perform an exact surgery paying careful attention to preserving the tubal function regardless of preoperative features.
authors.affiliation: Department of Obstetrics and Gynecology, Specialized Clinical Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan. taka-szk@is.icc.u-tokai.ac.jp
authors.forename: Takahiro
authors.initials: T
authors.lastname: Suzuki
authors.forename: Shun-ichiro
authors.initials: S
authors.lastname: Izumi
authors.forename: Eri
authors.initials: E
authors.lastname: Nakamura
authors.forename: Kenichi
authors.initials: K
authors.lastname: Goya
authors.forename: Go
authors.initials: G
authors.lastname: Kika
authors.forename: Taro
authors.initials: T
authors.lastname: Sugiyama
authors.forename: Li-yi
authors.initials: LY
authors.lastname: Cai
authors.forename: Takayo
authors.initials: T
authors.lastname: Murano
mesh_terms: D006063:Chorionic Gonadotropin / Q000097:blood; D005260:Female; D005865:Gestational Age; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D011183:Postoperative Complications; D011184:Postoperative Period; D011247:Pregnancy; D011256:Pregnancy Outcome; D011271:Pregnancy, Ectopic / Q000209:etiology*; D011274:Pregnancy, Tubal / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D006063:Chorionic Gonadotropin