Fertility following conservative surgery for tubal pregnancy

R. Langer, I. Bukovsky, A. Herman, R. Ron‐El, Y. Lifshitz, E. Caspi

Research output: Contribution to journalArticlepeer-review

Abstract

Eighty seven conservative surgical interventions for unruptured tubal pregnancy were performed on 83 patients. Salpingotomy was performed in 66 cases and expression of tubal pregnancy in 21 cases. In this patient group, 76.7% (56 out of 73) experienced intra‐uterine pregnancy following surgery and 71.2% (52 out of 73) had a live birth. The recurrence rate of tubal pregnancy was 12.3%. Of the 42 patients with a normal contralateral tube, 36 (85.7%) had an intra‐uterine pregnancy, 80.9% had a live birth and 7.1% had a recurrent tubal pregnancy. Sixty percent of the patients who underwent operation on their single tube, had a live birth and 66.6% had an intra‐uterine pregnancy; the recurrence of tubal pregnancy in this group was 26.6%. No recurrence of tubal pregnancy was found in the group of patients who underwent expression of tubal gestation. It is suggested that the expression of tubal gestation (milking) is a safe procedure for conserving future fertility, and that the indications for conservative surgical management in patients with unruptured tubal gestation should be broadened to include all patients interested in future pregnancies, regardless of the current state of the contralateral tube. 1987 Acta Obstet Gynecol Scand

Original languageEnglish
Pages (from-to)649-652
Number of pages4
JournalActa Obstetricia et Gynecologica Scandinavica
Volume66
Issue number7
DOIs
StatePublished - Jan 1987

Keywords

  • Tubal pregnancy
  • conservative surgery
  • subsequent fertility

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