Case report: The dilemma of the optimal surgical procedure in ectopic pregnancies occurring in in-vitro fertilization

Arie Herman*, Raphael Ron-el, Abraham Golan, Yigal Soffer, Ian Bukovsky, Eliahu Caspi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Ectopic pregnancy remains one of the undesired sequelae of in- fertilization (IVF treatment. It seems that mechanical infertility increases the risk of this complication in IVF. Thus, the surgeon treating such a case faces the dilemma of the optimal surgical procedure because of the increased risk for repeated ectopic pregnancy in subsequent IVF cycles. Two cases are presented with repeated ectopic pregnancy occurring in IVF. One case underwent salpingectomy on the first occasion and eventually developed a contralateral repeat ectopic gestation ending with salpingectomy. The second case underwent a conservative salpingotomy in the tkst event and developed a repeated ectopic gestation on the same side, undergoing bilateral salpingectomy. In order to prevent repeated ectopic pregnancies in an IVF programme, a definitive surgical procedure, such as bilateral salpingectomy, should be considered in the first episode in patients referred for IVF because of tubal pathology.

Original languageEnglish
Pages (from-to)1167-1169
Number of pages3
JournalHuman Reproduction
Volume6
Issue number8
DOIs
StatePublished - Sep 1991

Keywords

  • Bilateral salpingectomy
  • Case reports
  • Ectopic pregnancy
  • IVF

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