+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Treatment of tubal ectopic pregnancy by salpingotomy with or without tubal suturing and salpingectomy

Treatment of tubal ectopic pregnancy by salpingotomy with or without tubal suturing and salpingectomy

Fertility and Sterility 55(1): 53-55

Thirty-four women with unruptured tubal ectopic pregnancy (EP) were randomly assigned to undergo salpingotomy without tubal suturing (n = 15) or salpingotomy with tubal suturing (n = 19). The reproductive performance of these patients was compared with 24 patients who underwent salpingectomy for their EP (historical control). Using life table analysis, the cumulative probability of intrauterine pregnancy (IUP) at 12 and 24 months was 45% and 45% after salpingotomy without tubal suturing and 21% and 47% after salpingotomy with tubal suturing, respectively. The cumulative probability of IUP after salpingectomy (21% and 26% at 12 and 24 months, respectively) was significantly lower than after salpingotomy with or without tubal suturing. There was no difference in the cumulative probability of EP after salpingotomy with or without tubal suturing, but it was significantly higher than after salpingectomy. In 18 women who subsequently underwent laparoscopy or laparotomy, no significant difference was found between the degree of adhesions after salpingotomy with or without tubal suturing. These findings suggest that IUP after conservative treatment is higher than after salpingectomy, but recurrent EP is also higher. Intrauterine pregnancy occurs earlier after salpingotomy without tubal suturing than after salpingotomy with tubal suturing. This might be because of rapid return of tubal function after healing by secondary intention.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 007967703

Download citation: RISBibTeXText

PMID: 1986973

Related references

Salpingotomy versus salpingectomy in women with tubal pregnancy (ESEP study): an open-label, multicentre, randomised controlled trial. Lancet 383(9927): 1483-1489, 2014

Salpingosigmoidal fistula. Western Journal of Surgery Obstetrics and Gynecology 56(9): 478, 1948

Salmonella serovar spectrum associated with reptiles in Poland. Acta Veterinaria Brno 83(4): 287-294, 2014

Fertility outcomes after laparoscopic partial bladder resection for deep endometriosis: Retrospective analysis from two expert centres and review of the literature. European Journal of Obstetrics Gynecology and Reproductive Biology 220: 12-17, 2018

Linear rotary optical delay lines. Optics Express 22(10): 11812-11833, 2014

Laparoscopic sacrohysteropexy versus vaginal hysterectomy for uterovaginal prolapse using validated questionnaires: 2-year prospective study. International Urogynecology Journal 29(1): 71-79, 2018

Laparoscopic sacrocolpopexy: operative times and efficiency in a high-volume female pelvic medicine and laparoscopic surgery practice. International Urogynecology Journal 28(6): 887-892, 2017

Spontaneous echocardiographic contrast in three dogs. Journal of Veterinary Emergency and Critical Care 21(2): 158-165, 2011

Salpingotomy versus Salpingectomy in the Treatment of Tubal Gestation. Proceedings of the Royal Society of Medicine 15(Obstet Gynaecol Sect): 17-22, 1922

Tubal desterilization through exclusive laparoscopy. Human Reproduction 4(2): 158-159, 1989

Salpingotomy or salpingectomy in tubal ectopic pregnancy: what do women prefer?. Reproductive Biomedicine Online 21(5): 687-693, 2010

Safeguarding American pharmacy. Journal of Pharmaceutical Sciences 13(3): 239-241, 1924

Cost-effectiveness of routine varicella vaccination using the measles, mumps, rubella and varicella vaccine in France: an economic analysis based on a dynamic transmission model for varicella and herpes zoster. Clinical Therapeutics 37(4): 830-841.E7, 2015

Comparison of the Feasibility and Safety of Nasotracheal Suctioning With Curved Edge Catheter Versus Conventional Suction Catheter in Critically Ill Subjects: A Prospective Randomized Crossover Trial. Respiratory Care 60(12): 1826-1833, 2015

Salpingotomy versus salpingectomy in women with tubal pregnancy. Journal of Comparative Effectiveness Research 3(3): 241-243, 2014