Vol 84, No 12 (2013)
ARTICLES
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 Żyła, Dorota Kolasa-Zwierzchowska, Artur Szpakowski, Grzegorz Stachowiak, Marian Szpakowski, Jacek R. Wilczyński, Ewelina Litwińska
DOI: 10.17772/gp/1675
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Ginekol Pol 2013;84(12).
Vol 84, No 12 (2013)
ARTICLES
Abstract
Introduction: Ectopic pregnancy (EP) is usually located in the Fallopian tube and it has a significant adverse effect on women’s fertility. Three types of EP treatment include: expectant, medical, and surgical radical (salpingectomy) or conservative (salpingotomy) management. Objectives: The aim of the study was to compare women’s fertility after surgical radical or conservative treatment of tubal ectopic pregnancy. Materials and methods: Out 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). Results: A 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. Conclusions: Our 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.
Abstract
Introduction: Ectopic pregnancy (EP) is usually located in the Fallopian tube and it has a significant adverse effect on women’s fertility. Three types of EP treatment include: expectant, medical, and surgical radical (salpingectomy) or conservative (salpingotomy) management. Objectives: The aim of the study was to compare women’s fertility after surgical radical or conservative treatment of tubal ectopic pregnancy. Materials and methods: Out 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). Results: A 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. Conclusions: Our 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.
Keywords
tubal ectopic pregnancy, salpingotomy, salpingectomy
Title
Salpingotomy vs salpingectomy – a comparison of women’s fertility after surgical treatment of tubal ectopic pregnancy during a 24-month follow-up study
Journal
Ginekologia Polska
Issue
Vol 84, No 12 (2013)
Page views
1540
Article views/downloads
5584
DOI
10.17772/gp/1675
Bibliographic record
Ginekol Pol 2013;84(12).
Keywords
tubal ectopic pregnancy
salpingotomy
salpingectomy
Authors
Marta Kostrzewa
Monika Żyła
Dorota Kolasa-Zwierzchowska
Artur Szpakowski
Grzegorz Stachowiak
Marian Szpakowski
Jacek R. Wilczyński
Ewelina Litwińska