• Ginekol Pol · Dec 2013

    Comparative Study

    [Salpingotomy vs salpingectomy--a comparison of women's fertility after surgical treatment of tubal ectopic pregnancy during a 24-month follow-up study].

    • Marta Kostrzewa, Monika Zyła, Ewelina Litwińska, Dorota Kolasa-Zwierzchowska, Artur Szpakowski, Grzegorz Stachowiak, Marian Szpakowski, and Jacek R Wilczyński.
    • Klinika Ginekologii i Onkologii Ginekologicznej Instytutu Cendtrum Zdrowia Matki Polki w Łodzi, Polska. kostrzewa.marta1@gmail.com
    • Ginekol Pol. 2013 Dec 1;84(12):1030-5.

    IntroductionEctopic pregnancy (EP) is usually located in the Fallopian tube and it has a significant adverse effect on womens fertility Three types of EP treatment include: expectant, medical, and surgical radical (salpingectomy) or conservative (salpingotomy) management.ObjectivesThe aim of the study was to compare women's fertility after surgical radical or conservative treatment of tubal ectopic pregnancyMaterials And MethodsOut of the 58 patients operated because of tubal EP pregnancy 22 underwent laparoscopic salpingotomy (group 1) and 36 laparoscopic salpingectomy (group 2). EP-related data were obtained from medical documentation (the symptoms, diagnostic tests, EP risk factors, medical reproductive and surgical history clinical status during EP surgery). Follow-up data were collected by means of a telephone interview. The survey included questions focused on women's fertility during a 24-month period following the surgical treatment of EP (conception, subsequent intrauterine pregnancies and ectopic pregnancy).ResultsA 24-month follow-up period revealed that the cumulative intrauterine pregnancy rate was higher in group 1 (salpingotomy) as compared to group 2 (salpingectomy), i.e. 50% vs. 41.5%, respectively. Tubal EP returned in 13.6% cases (group 1) vs. 19.4% (group 2). All submitted results are statistically insignificant.ConclusionsOur findings are consistent with the literature which reports a trend of higher odds for intrauterine pregnancy after salpingotomy for surgical treatment of EP as compared to salpingectomy Moreover the risk for recurrent tubal EP is comparable for both methods. Regardless, the decision about the operating range in case of EP always depends on the actual clinical state of the patient.

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