| Laparoscopic management of tubal ectopic pregnancy. | |
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MedLine Citation:
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PMID: 8365526 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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C Chapron; J L Pouly; A Wattiez; G Mage; M Canis; J Bouquet; H Manhes; M A Bruhat |
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Publication Detail:
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Type: Comparative Study; Journal Article; Review |
Journal Detail:
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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:
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Created Date: 1993-10-07 Completed Date: 1993-10-07 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0375672 Medline TA: Eur J Obstet Gynecol Reprod Biol Country: IRELAND |
Other Details:
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Languages: eng Pagination: 73-9 Citation Subset: IM |
Affiliation:
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Polyclinique Gynécologie-Obstétrique, Médicine de la Reproduction, C.H.U. de Clermont-Ferrand, Université de Clermont-Ferrand 1, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Chorionic Gonadotropin
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metabolism Female Humans Laparoscopy Pregnancy Pregnancy, Tubal / surgery* Prognosis Recurrence Salpingostomy |
| Chemical | |
Reg. No./Substance:
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0/Chorionic Gonadotropin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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