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Ectopic Pregnancy:: Role of Laparoscopic Treatment

EHRENBERG-BUCHNER, STACEY MD*; SANDADI, SAMITH MD, MSc*; MOAWAD, NASHAT S. MD; PINKERTON, JAY S. MD*; HURD, WILLIAM W. MD, MSc*

Clinical Obstetrics & Gynecology: September 2009 - Volume 52 - Issue 3 - pp 372-379
doi: 10.1097/GRF.0b013e3181b0be24
Laparoscopic Surgery

Ectopic pregnancy is a common condition with the immediate risk of life-threatening hemorrhage and subsequent risks of infertility and recurrence. Despite remarkable advances in diagnosis and treatment, ectopic pregnancies account for 9% of all maternal deaths. Early diagnosis has led to the development of innovative surgical and nonsurgical options. The choice of treatment, including expectant, medical, and surgical approaches, depends on ectopic location, symptoms, gestational age, and future fertility desires. Goals are to make the diagnosis of ectopic pregnancy early and provide the most effective and least invasive procedure while sparing future fertility when desired.

*Departments of Obstetrics and Gynecology, University Hospitals Case Medical Center, Cleveland, Ohio

Magee-Women's Hospital of the University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Correspondence: William W. Hurd, MD, MSc, Department of Obstetrics and Gynecology, University Hospitals Case Medical Center, Case Western Reserve University School of Medicine, 11100 Euclid Avenue, MAC 7007, Cleveland, OH 44106. E-mail: William.hurd@uhhospitals.org

© 2009 Lippincott Williams & Wilkins, Inc.