Abstract | AIM: The objective of this study was to review our experience with ectopic pregnancy management and to evaluate major predictive factors for failure of conservative linear salpingostomy. METHODS: Seven hundred and ninety-seven cases that were treated for ectopic pregnancy in our clinic between October 2005 and September 2011 were analyzed retrospectively for incidence and treatment options. We defined failure as rising or plateauing postoperative serum β-hCG levels that required additional medical or surgical treatment after initial removal of the ectopic pregnancy by laparoscopy or by laparotomy. We examined the risk factors consisting of preoperative β-hCG, size and location of ectopic lesions, the presence of fetal heart beat and tubal condition that can influence the failure or success of conservative salpingostomy. RESULTS: CONCLUSIONS: The size of the ectopic pregnancy and fimbrial and isthmic region ectopic pregnancies were determinant of failure of conservative surgery. Our success rate in the ruptured group is not an underestimated value to dissuade patients wishing to maintain fertility by undergoing salpingectomy. So, the conservative approach to ectopic pregnancy should be undertaken after careful patient evaluation.
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Authors | Semra Kayatas, Oya Demirci, Pinar Kumru, Didar Mahmutoglu, Bahar Saribrahim, Sevcan Arzu Arinkan |
Journal | The journal of obstetrics and gynaecology research
(J Obstet Gynaecol Res)
Vol. 40
Issue 2
Pg. 453-8
(Feb 2014)
ISSN: 1447-0756 [Electronic] Australia |
PMID | 24118330
(Publication Type: Journal Article)
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Copyright | © 2013 The Authors. Journal of Obstetrics and Gynaecology Research © 2013 Japan Society of Obstetrics and Gynecology. |
Chemical References |
- Chorionic Gonadotropin, beta Subunit, Human
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Topics |
- Adult
- Chorionic Gonadotropin, beta Subunit, Human
(blood)
- Female
- Humans
- Laparoscopy
- Predictive Value of Tests
- Pregnancy
- Pregnancy, Tubal
(blood, pathology, surgery)
- Retreatment
- Retrospective Studies
- Risk Factors
- Salpingostomy
- Treatment Failure
- Young Adult
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