Pelviscopic organ-preserving treatment of ectopic pregnancy using fibrin sealant

Pelviscopic surgery with organ preservation and approximation of wound edges has become increasingly accepted as operative therapy of tubal pregnancy. We developed a new, simple method using fibrin sealant that can be learned by surgeons in training, and can be performed easily when specialists are not available. One hundred fourteen of 135 pelviscopic interventions for tubal pregnancy were performed in this manner in a primary medical care hospital. The mean operating time was 49 minutes (range 35-70 min) and the mean length of hospitalization 3 days (range 2-7 days). Complications, time to return to work, and pregnancy and recurrence rates compare with values reported in other studies. Therefore, this method can be recommended as an alternative to other techniques.