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Reproductive outcome after laparoscopic instillation of hyperosmolar glucose into unruptured tubal pregnancies
A Giuliani1, W Hoenigl, W Schoell
1Department of Obstetrics and Gynecology, University of Graz, Graz, Austria. giuliani@kfunigraz.ac.at
Objective:
To determine intrauterine and ectopic pregnancy rates after local instillation of 50% glucose into unruptured tubal pregnancies.
Design:
Retrospective cohort of 183 patients, who were observed for 16 to 108 months (median, 64 months).
Setting:
University hospital.
Patient(S):
One hundred eighty-three women who underwent laparoscopic instillation of hyperosmolar glucose for unruptured tubal pregnancies.
Intervention(S):
Completion of questionnaires.
Main Outcome Measure(S):
Pregnancy rate, tubal recurrence rate.
Result(S):
A total of 124 women returned the questionnaire and had a desire for spontaneous conception. The conception rate and the intrauterine pregnancy rate were 79% and 73%, respectively. Seventy percent of all women with desire for spontaneous conception had live births. The rate of subsequent ectopic pregnancies was 12%. Tubal patency of the treated tube was demonstrated in 69% of 39 women at hysterosalpingography.
Conclusion(S):
The long-term prognosis for conception after laparoscopic instillation of hyperosmolar glucose for unruptured tubal pregnancy is favorable and comparable to that of other conservative treatments.
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