Reproductive performance of women after two tubal ectopic pregnancies

Fertility and Sterility
T Tulandi

Abstract

Twenty-four women who had undergone total salpingectomy due to ectopic pregnancy and who subsequently underwent a laparotomy for a second ectopic pregnancy in their opposite tube were treated by the author. Treatment consisted of linear salpingostomy (n = 20) and partial salpingectomy (n = 4). The intrauterine pregnancy rate after linear salpingostomy in women who attempted to conceive was 50%, and the incidence of a third ectopic pregnancy was 27.8%. These findings suggest that linear salpingostomy should be considered in the management of a second tubal pregnancy in women with a single tube. The high incidence of a third ectopic pregnancy, however, is concerning.

Citations

Nov 1, 1993·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·J L GlockJ R Brumsted
Aug 1, 2010·Australasian Journal of Ultrasound in Medicine·Sonia Anwar, Talat Uppal
Jan 1, 1997·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·F F Zayed
Dec 15, 2020·Journal of Minimally Invasive Gynecology·Gilad KaravaniUri P Dior

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