title: Fertility outcome after laparoscopic salpingostomy or salpingectomy for tubal ectopic pregnancy A 12-years retrospective cohort study.
abstract: OBJECTIVE
  To compare the subsequent reproductive outcome after laparoscopic salpingostomy or salpingectomy for tubal ectopic pregnancy (EP).
  
  
  METHODS
  A retrospective cohort study was conducted between January 2002 and May 2014 on 132 women admitted to Unit of Gynecology and Obstetrics of the Department of Human Pathology in Adulthood and Childhood "G. Barresi", "Gaetano Martino" Hospital, University of Messina (Italy), with EP and who received surgical treatment, including laparoscopic salpingectomy (n=57) or salpingostomy (n=75). Main outcomes included intrauterine pregnancy (IUP), recurrent EP and persistent trophoblastic disease rates.
  
  
  RESULTS
  The IUP rates up to 24 months after surgery were 56.1% for salpingectomy and 60% for salpingostomy. The 2-year recurrent EP rates were 5.3% for salpingectomy and 18.7% for salpingostomy. The persistent trophoblastic disease rate were 1.8% for salpingectomy and 12% for salpingostomy.
  
  
  CONCLUSIONS
  Our results show that the reproductive outcomes after laparoscopic salpingectomy are similar to those observed after conservative treatment.
  
  
  CONCLUSIONS
  In the surgical treatment of EP, the clinician should choose the best treatment in accordance with the patient, considering the severity of the disease, the clinical characteristics of the patient and her desire to preserve fertility.
  
  
  BACKGROUND
  Ectopic pregnancy, Salpingectomy,Salpingostomy.
authors.forename: Antonio Simone
authors.initials: AS
authors.lastname: Lagana
authors.forename: Salvatore Giovanni
authors.initials: SG
authors.lastname: Vitale
authors.forename: Rosanna
authors.initials: R
authors.lastname: De Dominici
authors.forename: Francesco
authors.initials: F
authors.lastname: Padula
authors.forename: Agnese Maria Chiara
authors.initials: AM
authors.lastname: Rapisarda
authors.forename: Antonio
authors.initials: A
authors.lastname: Biondi
authors.forename: Stefano
authors.initials: S
authors.lastname: Cianci
authors.forename: Gaetano
authors.initials: G
authors.lastname: Valenti
authors.forename: Stella
authors.initials: S
authors.lastname: Capriglione
authors.forename: Helena Ban
authors.initials: HB
authors.lastname: Frangez
authors.forename: Emanuele
authors.initials: E
authors.lastname: Sturlese
mesh_terms: D000328:Adult; D000072700:Conservative Treatment; D005260:Female; D005298:Fertility; D031901:Gestational Trophoblastic Disease / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D007247:Infertility, Female / Q000453:epidemiology / Q000209:etiology*; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D012422:Rupture, Spontaneous; D058994:Salpingectomy / Q000009:adverse effects*; D012489:Salpingostomy / Q000009:adverse effects*