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Reich Harry MD; Freifeld, Martin L. MD; McGlynn, Frances CRNP, MS; Reich, Elizabeth ATCL
Obstetrics & Gynecology: February 1987
Instruments & Methods: PDF Only

Seventeen tubal pregnancies were treated successfully with a laparoscopic procedure over the past four years. Four different laparoscopic techniques were used salpingectomy, partial salpingectomy (midtube resection), fimbrial expression, and salpingotomy. “Preventive hemostasis” using vasopressin has made salpingotomy our treatment method of choice. Ruptured tubal pregnancy was not considered a contraindication to laparoscopic treatment. Four of the six women who were trying to conceive and were followed for longer than six months have had documented intrauterine pregnancies; one woman subsequently developed a contralateral tubal pregnancy which was treated by laparoscopic salpingotomy. Tuba1 ectopic pregnancy, even in the presence of rupture, can be managed effectively by a variety of laparoscopic techniques with benefits including minimal incision, short hospitalization, early return to full activity, and in many cases, a patent tube. (Obstet GynecoZ69:275, 1987)

© 1987 The American College of Obstetricians and Gynecologists