Salpingectomy by operative laparoscopy and subsequent reproductive performance

G. Oelsner, M. Goldenberg, D. Admon, M. Pansky, I. Tur-kaspa, O. Rabinovitch, H. J.A. Carp, S. Mashiach

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Between January 1984 and August 1991, 511 cases of extrauterine pregnancies were diagnosed by laparoscopy in out 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.

Original languageEnglish
Pages (from-to)83-86
Number of pages4
JournalHuman Reproduction
Volume9
Issue number1
DOIs
StatePublished - 1 Jan 1994
Externally publishedYes

Keywords

  • Fertility
  • Laparoscopy
  • Operative
  • Reproductive performance
  • Salpingectomy

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