Document Detail


Laparoscopic management of tubal ectopic pregnancy.
MedLine Citation:
PMID:  8365526     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
As with laparotomy, laparoscopic treatment of ectopic pregnancy (EP) can be either conservative or radical. After conservative laparoscopic treatment by salpingotomy the risk of failure (between 4 and 6%) is comparable with that observed after similar treatment by laparotomy. The fertility results after laparoscopic treatment of EP are comparable if not better than those observed after similar treatment by laparotomy. These two reasons, together with the considerable advantages of endoscopy over laparotomy, mean that today laparoscopic treatment is without question the best surgical treatment for EP. The prognosis for post-EP fertility is unrelated to the characteristics of the EP (size, rupture, location). The post-EP fertility depends mainly on the patient's previous history. We have established the Therapeutic Scoring System for EP by assessing the different factors affecting future fertility and multivariable analysis. This score allowed us to choose the most suitable treatment to preserve fertility and reduce the risk of recurrence between conservative laparoscopic treatment, laparoscopic salpingectomy with or without contralateral tubal sterilization.
Authors:
C Chapron; J L Pouly; A Wattiez; G Mage; M Canis; J Bouquet; H Manhes; M A Bruhat
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  49     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  1993 Apr 
Date Detail:
Created Date:  1993-10-07     Completed Date:  1993-10-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  73-9     Citation Subset:  IM    
Affiliation:
Polyclinique Gynécologie-Obstétrique, Médicine de la Reproduction, C.H.U. de Clermont-Ferrand, Université de Clermont-Ferrand 1, France.
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MeSH Terms
Descriptor/Qualifier:
Chorionic Gonadotropin / metabolism
Female
Humans
Laparoscopy
Pregnancy
Pregnancy, Tubal / surgery*
Prognosis
Recurrence
Salpingostomy
Chemical
Reg. No./Substance:
0/Chorionic Gonadotropin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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