A. Langebrekke et al., FERTILITY OUTCOME AFTER TREATMENT OF TUBAL PREGNANCY BY LAPAROSCOPIC LASER-SURGERY, Acta obstetricia et gynecologica Scandinavica, 72(7), 1993, pp. 547-549
In 150 women with tubal pregnancy consecutively treated over a two yea
r period by laparoscopic techniques, 74 were treated conservatively by
linear salpingotomy with carbon dioxide laser laparoscopy and 76 case
s non-conservatively through the laparoscope by salpingectomy. Between
15 and 37 months later all patients were contacted by means of questi
onnaires to evaluate subsequent fertility outcome. Sixty-six percent (
38/58) of those women who desired pregnancy after conservative laparos
copic treatment achieved an intrauterine pregnancy. The corresponding
rate for women who desired pregnancy after salpingectomy was 45% (18/4
0). The recurrent ectopic pregnancy rates in the two groups were 7% (4
/58) and 10% (4/40), respectively. This study confirms that tubal preg
nancy can be appropriately managed by laparoscopic laser surgery with
the advantages of minimal invasive techniques.