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Laparoscopic Treatment of Ampullary Tubal Pregnancy

1989; Mary Ann Liebert, Inc.; Volume: 5; Issue: 2 Linguagem: Inglês

10.1089/gyn.1989.5.157

1557-7724

Jacques Donnez, Michelle Nisolle,

Gynecological conditions and treatments

From 1980 to 1986, 300 ampullary tubal pregnancies were treated conservatively by laparoscopy. Failures secondary to incomplete removal of the trophoblast occurred in 2 cases. Among 120 patients without history of infertility who wished to become pregnant, an intrauterine pregnancy rate of 63% was achieved. Recurrent tubal pregnancy occurred in 8% of cases. Among patients with a history of microsurgical tuboplasty attempting conception following conservative laparoscopic procedures for tubal pregnancy, the intrauterine pregnancy rate was 27% and the recurrent tubal pregnancy rate was 22%. These data were similar to those obtained by laparotomy and proved that the laparoscopic salpingotomy must be the procedure of choice to treat the unruptured ampullary pregnancy. (J GYNECOL SURG 5:157, 1989)