title: Fallopian tube stripping forceps: a novel instrumental design for distal tubal pregnancy laparoscopy.
abstract: OBJECTIVE
  To compare a new method using fallopian tube stripping forceps (FTSF) for salpingostomy in laparoscopic tubal pregnancy management.
  
  
  METHODS
  Comparative observational study. A total of 102 patients with ampullary tubal pregnancy were treated as follows: 56 patients (Group 1) underwent stripping by FTSF, and 46 patients (Group 2) underwent salpingostomy. The bleeding, operation time, persistent ectopic pregnancy (EP) rate, and the first reproductive performance were investigated.
  
  
  RESULTS
  We found less intraoperative bleeding, shorter operation times, and lower rates of EP recurrence in Group 1 compared with Group 2. In contrast, we observed no significant differences in the persistent EP rate, the occurrences of spontaneous intrauterine pregnancy and miscarriage, and the rates of successful IVF between the two groups.
  
  
  CONCLUSIONS
  For distal tubal pregnancy with an ectopic mass ≤30mm, laparoscopic fallopian tube stripping assisted by FTSF may be an easy, less-damaging, conservative operational modality with lower recurrent EP compared with salpingostomy for patients who desire future pregnancy.
authors.affiliation: Chongqing Health Center for Women and Children, Chongqing Obstetric and Gynecologic Hospital, Chongqing, China.
authors.forename: Lubin
authors.initials: L
authors.lastname: Liu
authors.affiliation: Chongqing Health Center for Women and Children, Chongqing Obstetric and Gynecologic Hospital, Chongqing, China.
authors.forename: Guangjin
authors.initials: G
authors.lastname: Zhang
authors.affiliation: Chongqing Health Center for Women and Children, Chongqing Obstetric and Gynecologic Hospital, Chongqing, China.
authors.forename: Wenzheng
authors.initials: W
authors.lastname: Zhou
authors.affiliation: Chongqing Health Center for Women and Children, Chongqing Obstetric and Gynecologic Hospital, Chongqing, China.
authors.forename: Yugang
authors.initials: Y
authors.lastname: Chi
authors.affiliation: Chongqing Health Center for Women and Children, Chongqing Obstetric and Gynecologic Hospital, Chongqing, China.
authors.forename: Mei
authors.initials: M
authors.lastname: Yang
authors.affiliation: Chongqing Academy of Animal Sciences, Key Laboratory of Pig Industry Sciences, Ministry of Agriculture, Chongqing, China. Electronic address: geliangpeng1982@gmail.com.
authors.forename: Liangpeng
authors.initials: L
authors.lastname: Ge
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000601:surgery*; D012489:Salpingostomy / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome
keywords: Ampullary tubal pregnancy; Fallopian tube stripping forceps; Persistent EP; Recurrent EP; Salpingostomy