TUBAL PREGNANCY WOUND CLOSURE USING FIBRI N GLUE - CONSERVATIVE ENDOSCOPIC SURGERY OF ECTOPIC PREGNANCIES

Objective: In a follow-up study, women with ectopic pregnancies were t reated laparoscopically by closing the salpingostomy wound with a fibr in sealant. Their postoperative pregnancy rates and operative results were compared with those of established techniques. Method: Ectopic pr egnancies were removed by salpingostomy, and the wound was sealed by d ripping a fibrin glue onto the (approximated) wound edges. Results: Fo llowing salpingostomy and consecutive sealing of the wound, 59 women s till wanted to have a baby. Pregnancies occurred in 92%. Intrauterine pregnancies were found in 61%, the relapse rate on the operated side w as 15%. After the operation, 5 patients had a second ectopic pregnancy before or after a normal one. In case of the presence of only one or both operated tubes, the intrauterine pregnancy rate was 77% and the r elapse rate 11%. All pregnancies were obtained without any medical hel p, and 41 women (69%) had a healthy baby. Conclusion: The simple fibri n sealing technique yielded results comparable to those of the techniq ues established so far.