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Reproductive outcome after laparoscopic instillation of hyperosmolar glucose into unruptured tubal pregnancies.

AbstractOBJECTIVE:
To determine intrauterine and ectopic pregnancy rates after local instillation of 50% glucose into unruptured tubal pregnancies.
DESIGN:
Retrospective cohort of 183 patients, who were observed for 16 to 108 months (median, 64 months).
SETTING:
University hospital.
PATIENT(S):
One hundred eighty-three women who underwent laparoscopic instillation of hyperosmolar glucose for unruptured tubal pregnancies.
INTERVENTION(S):
Completion of questionnaires.
MAIN OUTCOME MEASURE(S):
Pregnancy rate, tubal recurrence rate.
RESULT(S):
A total of 124 women returned the questionnaire and had a desire for spontaneous conception. The conception rate and the intrauterine pregnancy rate were 79% and 73%, respectively. Seventy percent of all women with desire for spontaneous conception had live births. The rate of subsequent ectopic pregnancies was 12%. Tubal patency of the treated tube was demonstrated in 69% of 39 women at hysterosalpingography.
CONCLUSION(S):
The long-term prognosis for conception after laparoscopic instillation of hyperosmolar glucose for unruptured tubal pregnancy is favorable and comparable to that of other conservative treatments.
AuthorsA Giuliani, W Hoenigl, W Schoell, K Tamussino, G Arikan, P F Lang
JournalFertility and sterility (Fertil Steril) Vol. 76 Issue 2 Pg. 366-9 (Aug 2001) ISSN: 0015-0282 [Print] United States
PMID11476787 (Publication Type: Clinical Trial, Journal Article)
Chemical References
  • Glucose Solution, Hypertonic
Topics
  • Adult
  • Cohort Studies
  • Female
  • Glucose Solution, Hypertonic (therapeutic use)
  • Humans
  • Laparoscopy
  • Outcome Assessment, Health Care
  • Pregnancy
  • Pregnancy Rate
  • Pregnancy, Tubal (therapy)
  • Prognosis
  • Retrospective Studies
  • Surveys and Questionnaires

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