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Reproductive outcome after laparoscopic local methotrexate injection for tubal pregnancy
M Pansky1, J Bukovsky, A Golan
1Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center, Zerifin, Israel.
Objective:
To evaluate reproductive outcome after laparoscopic local methotrexate (MTX) injection for tubal pregnancy.
Design:
Follow-up was performed after 77 women were treated with local MTX injection between January 1, 1987 and December 31, 1990.
Setting:
Department of Obstetrics and Gynecology in a university medical center.
Main Outcome Measures:
Concise patient details about tubal patency in hysterosalpingography, pelvic findings at laparoscopy or laparotomy performed after the treatment, and the intrauterine and extrauterine pregnancy rates (PRs) are given.
Results:
Intrauterine PR of 67% and extrauterine PR of 13% were achieved.
Conclusion:
Local MTX injection does not modify tubal or pelvic anatomy and does not impair subsequent reproductive performance.