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Persistent ectopic pregnancy after laparoscopic salpingotomy: a manageable complication to preserve reproductive
Takahiro Suzuki1, Shun-ichiro Izumi, Eri Nakamura
1Department of Obstetrics and Gynecology, Specialized Clinical Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan. taka-szk@is.icc.u-tokai.ac.jp
Objective:
We evaluated whether or not persistent ectopic pregnancy (PEP) is a preventable complication after conservative laparoscopic surgery (salpingotomy) for tubal pregnancy.
Methods:
We reviewed the medical records of 139 patients who underwent salpingotomy between December 1992 and December 2008.
Results:
Out of 139 patients, 23 (16.5%) were diagnosed with a PEP after salpingotomy. When compared with 114 (82.5%) successfully treated patients, there were no differences in preoperative features (gestational age, serum human chorionic gonadotropin [hCG] levels, and ultrasonography findings ) and postoperative reproductive potentials (ipsilateral tubal patency and pregnancy outcomes).
Conclusions:
PEP, when appropriately treated, does not adversely affect tubal functions and postoperative fertility. We should uniformly perform an exact surgery paying careful attention to preserving the tubal function regardless of preoperative features.
