[Laparoscopic management of extrauterine pregnancy by salpingotomy]

The classical therapy of tubal pregnancy has been the salpingectomy for decades. Because of infertility problems caused by previous ectopic pregnancies and the organ preserving philosophy the microsurgical salpingotomy became more popular in the seventies. The technical development in the field of gynaecological endoscopy made it possible to perform the salpingotomy even through the laparoscope. The authors report in detail on their technique based on bipolar coagulation, cold knife linear salpingotomy and leaving the tubal wound open for secondary healing. They summarize their preliminary results after the management of nine patients.