[Diagnosis and conservative treatment of tubal pregnancy using pelviscopy in comparison with laparotomy]

Operative pelviscopy substitutes at the Department of Obstetrics and Gynecology, University of Kiel, laparotomy for the treatment of tubal pregnancy in ruptured and non-ruptured tubes. Tubectomy, as well as tubal incision with the extraction of the pregnancy product and consecutive suture of the tubes is possible by pelviscopy. All patients with conservative treated tubal pregnancy by pelviscopy are explained that remnants can remain; careful beta-hCG-measurements over a time of at least 14 days post operatively have to be performed. Pregnancy rates in patients with the desire to have children after the pelviscopic treatment reach the same level of success as after a treatment by laparotomy. The operation technique is for the patient less physically stress-full and leads to a faster healing process. The hospitalization time with this treatment is shortened to a maximum of 2-3 days.