Fertility after tubal ectopic pregnancy: results of a population-based study

Bennetot, M. De; Rabischong, B.; Aublet-Cuvelier, Bruno; Belard, Fabien; Fernandez, H.; Bouyer, Jean; Canis, Michel; Pouly, Jean-Luc

doi:10.1016/j.fertnstert.2012.06.041

Cited by 96 publications

(80 citation statements)

References 23 publications

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“…Proportion of patients managed surgically in our study was higher than that mentioned by other studies where surgical management rate was around 30-40%. 2,13 It was similar to that reported by de Bennetot M et al 14 Reason being almost two third of our patients had ruptured ectopic at presentation and most of the unruptured ectopic patients presented late to us, were not suitable candidates for medical management.…”

Section: Discussionsupporting

confidence: 88%

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Feasibility of laparoscopy in management of ectopic pregnancy: experience from a tertiary care hospital

Meena¹,

Vatsa²,

Kumar³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Ectopic pregnancy is an important cause of maternal morbidity and mortality. For surgical management, laparoscopy is preferred option. In developing world for ruptured ectopic pregnancy laparotomy is done at most of places. In this study we have assessed feasibility of laparoscopic management in both ruptured and unruptured ectopic pregnancy.Methods: A prospective study, conducted over period of 1 year from July 2014 to July 2015 in Department of Obstetrics & Gynecology, All India Institute of Medical Sciences, New Delhi. In 110 patients of ectopic pregnancy parameters studied were age and parity, symptoms, risk factors, diagnostic methods, site of ectopic, management and its outcome. Primary objective was to evaluate management outcome of ectopic pregnancy and to assess feasibility of laparoscopy in ectopic pregnancy. Ruptured ectopic pregnancy with massive hemoperitoneum were analyzed separately. Secondary objective was to study demographic characters and risk factors of ectopic pregnancy.Results: Surgical management was required in 93.6% patients, out of which 86.4% were managed laparoscopically. Unruptured ectopic pregnancy was managed successfully by laparoscopy in 96.6% (29/30) patients. Ectopic was ruptured in 73 (66.3%) cases, laparoscopy was attempted in 91.7% (67/73). In 10.4% (7/67) patients laparoscopy had to be converted to laparotomy and it was successful in 89.5%. Out of 16 patients with massive hemoperitoneum, 12(75%) were managed laparoscopically. There was no mortality.Conclusions: In most of cases laparoscopy is safe and successful. Laparoscopy is feasible in ruptured ectopic cases including selected cases with massive hemoperitoneum thus avoiding unnecessary laparotomy and associated morbidity. Timely diagnosis and management prevents mortality.

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Section: Discussionsupporting

confidence: 88%

“…But a population-based study has shown significantly higher intrauterine pregnancy rate after conservative surgery. 17,14 One third of our medically managed patients required surgery. Large uncontrolled studies have reported that less than 10% of women treated with methotrexate will require surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of laparoscopy in management of ectopic pregnancy: experience from a tertiary care hospital

Meena¹,

Vatsa²,

Kumar³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…The other woman had been operated for left sided ectopic pregnancy and later operated for right ruptured ampullary ectopic pregnancy in form of right salpingectomy. In a study by Bennetot et al 7 , the incidence of recurrence of ectopic pregnancy is 19% irrespective of treatment given for original ectopic pregnancy. The presenting complains of women were most commonly lower abdominal pain found in 50(92.6%) women and amenorrhoea found in 45(83.3%) women.…”

Section: Discussionmentioning

confidence: 96%

Analysis of ectopic pregnancy at a tertiary care hospital: one year study

Baria

Thaker

Patel

et al. 2013

Int J Reprod Contracept Obstet Gynecol

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“…We have no data on repeated EP, but the analysis of modalities of EP treatment shows that the proportion of cases treated by laparoscopy or medical treatment has been increasing over the considered period. Likewise, surgical treatment of infertility decreased in the last decades; moreover, recently, it has been found that there is no more risk of recurrence after salpingostomy or methotrexate therapy than after salpingectomy [26]. …”

Section: Discussionmentioning

confidence: 99%

Temporal Trend in the Frequency of Ectopic Pregnancies in Lombardy, Italy

Parazzini

Ricci

Cipriani

et al. 2013

Gynecol Obstet Invest

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Background: In recent years, epidemiological data showed that the incidence of ectopic pregnancies (EP) is decreasing, but few data are available on the time trend in Southern European populations. Methods: Using data from the Lombardy Region Database, we calculated and standardized the EP rates/10,000 resident women and the ratios/1,000 pregnancies. Results: Data regarding 1,777,011 pregnancies and 17,028 cases of EP were recorded among women resident in Lombardy between 1996 and 2010, aged 15-50 years old. The age-adjusted EP rates increased from 4.4 in 1996 to 5.8 in 2010. The age-adjusted EP ratio was 9.4/1,000 pregnancies in 1996 and 9.8 in 2010. Medical treatment increased over the period; the proportion of laparoscopic treatment increased from 25.9% in 1996 to 36.3% in 2010. Conclusion: The age-adjusted EP rate and ratio increased between 1996 and 2010, suggesting that the significance of EP as a public health problem has increased in the last years.

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Fertility after tubal ectopic pregnancy: results of a population-based study

Cited by 96 publications

References 23 publications

Feasibility of laparoscopy in management of ectopic pregnancy: experience from a tertiary care hospital

Feasibility of laparoscopy in management of ectopic pregnancy: experience from a tertiary care hospital

Analysis of ectopic pregnancy at a tertiary care hospital: one year study

Temporal Trend in the Frequency of Ectopic Pregnancies in Lombardy, Italy

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