Document Detail


Outcome of laparoscopic versus traditional surgery for ectopic pregnancies.
MedLine Citation:
PMID:  1531198     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare pregnancy rates after three surgical procedures for ectopic pregnancy (EP) over a 9-year period for normal and infertility patients. DESIGN: In a retrospective analysis, we examined crude pregnancy rates and life-table analysis of cumulative pregnancy rates. A proportional hazard regression model was used to examine relative risk of type of surgery and fertility rates. PATIENTS, PARTICIPANTS: One hundred twenty-six cases of EPs were reviewed at the Cleveland Clinic Foundation, a tertiary institution. MAIN OUTCOME MEASURES: Comparisons of rates of viable term deliveries were calculated between three types of surgery and were stratified according to the status of infertility. Confidence intervals for relative risk of surgery and fertility status on future pregnancy were calculated. RESULTS: No difference in pregnancy rates was observed after the three procedures (P = 0.08). Normals had a significantly higher (4 times higher) pregnancy rate than infertility patients, independent of surgical procedure. CONCLUSION: Successful pregnancy after EP is related to history of infertility rather than type of surgery to treat ectopic event. More randomized study is needed to examine laparoscopic salpingostomy, especially in patients with other infertility problems.
Authors:
C J Sultana; K Easley; R L Collins
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  57     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  1992 Feb 
Date Detail:
Created Date:  1992-03-10     Completed Date:  1992-03-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  285-9     Citation Subset:  IM    
Affiliation:
Department of Gynecology, Cleveland Clinic Foundation, Ohio 44195-5037.
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MeSH Terms
Descriptor/Qualifier:
Delivery, Obstetric
Female
Humans
Infertility / complications
Laparoscopy*
Laparotomy
Postoperative Complications
Pregnancy
Pregnancy Outcome
Pregnancy, Ectopic / complications,  surgery*
Proportional Hazards Models
Recurrence

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


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