title: Tubal ectopic pregnancy: our experience from 2000 to 2013.
abstract: In this paper we summarize our experience in diagnosis and treatment of 402 retrospectively collected tubal EP and review the most recent topics from the literature. Systemic Methotrexate (MTX) was effective in 56 out of 65 patients (failure rate 13.8%), in whom hCG level was significantly lower when compared to the failure group (p&lt;0,05); we performed 299 salpingectomies, 297 of whom through laparoscopic approach. MTX single-dose is safe and effective in eligible patients; surgery represents the treatment of most of the EPs, mainly through laparoscopic approach.
authors.affiliation: Department of Surgical Sciences, Obstetrics and Gynecology Unit, University of Parma, Parma, Italy. roberto.berrettamd@gmail.com.
authors.forename: Roberto
authors.initials: R
authors.lastname: Berretta
authors.forename: Andrea
authors.initials: A
authors.lastname: Dall'Asta
authors.forename: Carla
authors.initials: C
authors.lastname: Merisio
authors.forename: Michela
authors.initials: M
authors.lastname: Monica
authors.forename: Letizia
authors.initials: L
authors.lastname: Lori
authors.forename: Letizia
authors.initials: L
authors.lastname: Galli
authors.forename: Daniele
authors.initials: D
authors.lastname: Mautone
authors.forename: Tiziana
authors.initials: T
authors.lastname: Frusca
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use; D000328:Adult; D019160:Endosonography / Q000379:methods*; D005260:Female; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D010535:Laparoscopy / Q000379:methods*; D008727:Methotrexate / Q000627:therapeutic use*; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D011379:Prognosis; D012189:Retrospective Studies; D058994:Salpingectomy / Q000379:methods*; D014621:Vagina
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D008727:Methotrexate