Document Detail

Assessment of tubal disorder as a risk factor for repeat ectopic pregnancy after laparoscopic surgery for tubal pregnancy.
MedLine Citation:
PMID:  19527393     Owner:  NLM     Status:  MEDLINE    
METHODS: This was a retrospective clinical study in a university hospital.
RESULTS: Of 43 women monitored for at least 6 months after LS, 28 (65%) subsequently conceived. In 24 (86%) of these women the pregnancy was intrauterine, and four (14%) had REP. Of 40 women with a unilateral tube monitored for at least 6 months after salpingectomy, 24 (60%) conceived. In 17 (71%) of these women the pregnancy was intrauterine, and seven (29%) had REP. There was no significant difference between groups in postoperative pregnancy or REP rates. There was no significant difference in the mean adhesion score by revised American Fertility Society stage points (re-AFS) at operation and the site of subsequent pregnancy in either the LS or the salpingectomy group, although the mean re-AFS score was significantly higher in women who had REP (3.1) than in those whose subsequent pregnancy was intrauterine (0.4).
CONCLUSIONS: There was no significant difference in postoperative pregnancy or REP rates following previous LS or salpingectomy. The re-AFS score appeared to be an accurate predictor of the prognosis of subsequent pregnancies.
Keiji Kuroda; Hiroyuki Takeuchi; Mari Kitade; Iwaho Kikuchi; Hiroto Shimanuki; Jun Kumakiri; Yuko Kobayashi; Masako Kuroda; Satoru Takeda
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  35     ISSN:  1341-8076     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-16     Completed Date:  2009-08-27     Revised Date:  2011-01-11    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  520-4     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, Juntendo University School of Medicine, Bunkyo-ku, Tokyo, Japan.
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MeSH Terms
Fallopian Tube Diseases / complications*
Fallopian Tubes / surgery
Laparoscopy* / adverse effects
Postoperative Complications / epidemiology
Pregnancy, Ectopic / epidemiology*
Pregnancy, Tubal / epidemiology,  surgery*
Risk Factors
Tissue Adhesions / complications,  epidemiology

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