Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Previous ectopic pregnancy should be considered a contraindication for microsurgery

A Strandell1, J Thorburn

  • 1Department of Obstetrics and Gynecology, The Sahlgrenska University Hospital, Göteborg, Sweden.

Acta Obstetricia Et Gynecologica Scandinavica
|April 1, 1996
PubMed
Summary

Women who previously experienced ectopic pregnancy (EP) face a significantly increased risk of recurrence after tubal microsurgery. Endometriosis further elevates this risk, suggesting caution for surgical candidates.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Potential risk factors for caesarean scar pregnancy: a retrospective case-control study.

Human reproduction open·2021
Same author

Gonadotrophin stimulation and risk of relapse in breast cancer.

Human reproduction open·2021
Same author

Top 10 priorities for future infertility research: an international consensus development study.

Fertility and sterility·2020
Same author

Developing a core outcome set for future infertility research: an international consensus development study.

Fertility and sterility·2020
Same author

Standardizing definitions and reporting guidelines for the infertility core outcome set: an international consensus development study.

Fertility and sterility·2020
Same author

Standardizing definitions and reporting guidelines for the infertility core outcome set: an international consensus development study†  ‡.

Human reproduction (Oxford, England)·2020

Area of Science:

  • Reproductive Medicine
  • Surgical Outcomes
  • Epidemiology

Background:

  • Tubal surgery is performed for infertility, but carries a risk of subsequent ectopic pregnancy (EP).
  • Estimating this risk is crucial for patient counseling and treatment decisions.

Purpose of the Study:

  • To estimate the risk of subsequent ectopic pregnancy (EP) after tubal microsurgery.
  • To identify clinical factors correlating with increased EP risk using a logistic model.

Main Methods:

  • A retrospective study analyzed 84 women who conceived after tubal microsurgery (1986-1990).
  • Data included previous EP, endometriosis, surgical details, and outcomes (EP vs. intra-uterine pregnancy).
  • Logistic regression modeled the risk of subsequent EP.

Related Experiment Videos

Main Results:

  • The baseline risk of EP after microsurgery is at least 15%.
  • Previous EP and endometriosis were significant predictors of subsequent EP.
  • One prior EP increased risk to 60%; two prior EPs with endometriosis raised risk to 95%.

Conclusions:

  • Patients with a history of EP have a high risk of recurrence after tubal microsurgery.
  • Microsurgery may not be advisable for women with previous EP due to high recurrence risk and reduced intra-uterine pregnancy chances.