| Salpingectomy by operative laparoscopy and subsequent reproductive performance. | |
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MedLine Citation:
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PMID: 8195356 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Between January 1984 and August 1991, 511 cases of extrauterine pregnancies were diagnosed by laparoscopy in our department. In 374 cases salpingectomy was performed: 184 by explorative laparotomy, and 190 by operative laparoscopy. Patients were scheduled for salpingectomy if one or more of the following criteria were fulfilled: (i) a ruptured tube which was surgically unsuitable for conservation; (ii) no interest in future fertility; (iii) tubes with ectopic gestation previously operated on; (iv) a previous tubal pregnancy on the same side, which was treated expectantly. Salpingectomy was performed via operative laparoscopy with bipolar diathermy forceps and laparoscopic scissors. Pregnancy rates, i.e. intra-uterine and repeat extra-uterine, were evaluated. The reproductive performance following salpingectomy did not differ significantly, whether by laparotomy or laparoscopy: the intra-uterine pregnancy rate was 78 and 64%, respectively and the repeat ectopic pregnancy rate was 12 and 6%, respectively. Salpingectomy via laparoscopy can be performed safely with a low incidence of complications, with subsequent reproductive performance comparable to laparotomy. |
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Authors:
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G Oelsner; M Goldenberg; D Admon; M Pansky; I Tur-Kaspa; O Rabinovitch; H J Carp; S Mashiach |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Human reproduction (Oxford, England) Volume: 9 ISSN: 0268-1161 ISO Abbreviation: Hum. Reprod. Publication Date: 1994 Jan |
Date Detail:
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Created Date: 1994-06-30 Completed Date: 1994-06-30 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8701199 Medline TA: Hum Reprod Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 83-6 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, Chaim Sheba Medical Centre, Tel Hashomer, Israel. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Fallopian Tubes / surgery* Female Humans Laparoscopy* Pregnancy Pregnancy, Tubal / surgery* Reproduction / physiology* Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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