Fertility outcome analysis after surgical management of tubal ectopic pregnancy: a retrospective cohort study

BMJ Open
Jingwei LiFujie Zhao

Abstract

To compare the subsequent fertility and risk of recurrence of an ectopic pregnancy (EP) in women who had had an EP, according to the type of surgical treatment they received--that is, salpingectomy, salpingostomy or tubal anastomosis. A retrospective cohort study was carried out between January 2003 and September 2011 of 618 patients admitted to hospital with tubal EP and who had received surgical treatment (salpingectomy, n=434; salpingostomy, n=112; and tube anastomosis, n=72). Main outcomes included the first intrauterine pregnancy (IUP) and recurrent EP. The crude IUP rates up to 24 months after surgery were 55.5% for salpingectomy, 50.9% for salpingostomy and 40.3% for tubal anastomosis treatments. In the multivariate-adjusted model, with the patients receiving salpingectomy as the reference group, HR for patients after salpingostomy and tubal anastomosis treatments for IUP were 0.912 (95% CI 0.762 to 2.017) and 0.619 (95% CI 0.328 to 0.927), respectively. The 2-year cumulative recurrent EP rates were found to be 8.1% for salpingectomy, 6.3% for salpingostomy and 16.7% for tubal anastomosis treatments. Taking the patients receiving salpingectomy as the reference group, the patients who received tubal anastomosis had a posi...Continue Reading

References

Apr 1, 1980·Fertility and Sterility·M A BruhatJ L Pouly
Jan 1, 1996·Acta Obstetricia Et Gynecologica Scandinavica·I Clausen
Aug 1, 1996·Journal of Paediatrics and Child Health·T H Koh
Mar 1, 1997·Fertility and Sterility·M Yao, T Tulandi
Dec 9, 1997·Fertility and Sterility·S H KimY S Chang
Aug 2, 2003·BJOG : an International Journal of Obstetrics and Gynaecology·Nannie BangsgaardLisbeth Nilas
Jan 27, 2007·The Cochrane Database of Systematic Reviews·P J HajeniusF van der Veen
Feb 17, 2007·Clinical Obstetrics and Gynecology·James Johnston Walker
Feb 20, 2007·The Journal of Emergency Medicine·Latha G Stead, Sandhya R Behera
Jul 31, 2008·Archives of Gynecology and Obstetrics·Vivek Nama, Isaac Manyonda
Jun 17, 2009·The Journal of Obstetrics and Gynaecology Research·Keiji KurodaSatoru Takeda
Nov 11, 2009·Archives of Gynecology and Obstetrics·Sven BeckerTanja Fehm
May 19, 2010·Journal de gynécologie, obstétrique et biologie de la reproduction·D DesroqueH Fernandez
Feb 19, 2011·Archives of Gynecology and Obstetrics·Xavier DeffieuxAmélie Gervaise
Jul 1, 2011·Journal of Pediatric and Adolescent Gynecology·Volkan Turan
Apr 19, 2012·Clinical Obstetrics and Gynecology·Caroline Juneau, Gordon Wright Bates
Jul 24, 2012·Fertility and Sterility·Marianne de BennetotJean-Luc Pouly

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Citations

Mar 16, 2017·American Journal of Obstetrics and Gynecology·Jennifer Y HsuJason D Wright
Jul 20, 2019·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Lorenzo SabbioniStefano Luisi
Apr 14, 2020·The Journal of Obstetrics and Gynaecology Research·Xinyan WangWenjie Zeng
Nov 2, 2017·Case Reports in Obstetrics and Gynecology·Victoria SampsonFarida Bano
Nov 18, 2020·Journal of Minimally Invasive Gynecology·Meghan C H OzcanGary N Frishman

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