Laparoscopic salpingectomy for tubal pregnancy

Dubuisson, Jean; Aubriot, F. X.; Cardone, Vito

doi:10.1016/s0015-0282(16)49995-4

Cited by 60 publications

(20 citation statements)

References 4 publications

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“…The conventional treatment for tubal pregnancy involves surgical removal of the gestational sac. Classically, the surgical approach has been open laparotomy; however, a laparoscopic approach has been favored since the 1980s 1, 2. The Royal College of Obstetricians and Gynecologists Green-top Guidelines recommend laparoscopic surgery as the preferred approach 3.…”

Section: Introductionmentioning

confidence: 99%

Single-Port Laparoscopic Salpingectomy for Surgical Treatment of Tubal Pregnancy: Comparison with Multi-Port Laparoscopic Salpingectomy

Kim¹,

Park²,

Kim³

et al. 2013

Int. J. Med. Sci.

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BackgroundThis study investigates the safety and feasibility of transumbilical single-port laparoscopic salpingectomy (SPLS) using conventional laparoscopic instruments compared to conventional multi-port laparoscopic salpingectomy (MPLS) for surgical treatment of tubal pregnancy.Material and methods We conducted a retrospective analysis of 63 patients with tubal pregnancy who underwent SPLS and 71 patients who underwent conventional MPLS between January 2008 and December 2010. All patients in the SPLS group had a drainage tube placed through the umbilicus, and, in the MPLS group, through a 5-mm trocar site in one side of the lower abdomen.Results No significance difference was discovered between the groups with regard to adjusted hemoglobin values (SPLS, 1.9 ± 1.0 g/dL versus MPLS, 1.7 ± 1.0 g/dL, P = 0.335). Additionally, there was also no significant difference in clinical characteristics, intraoperative findings, or operative outcomes.Conclusions Our study demonstrated that transumbilical SPLS using conventional laparoscopic instruments has operative outcomes comparable to MPLS for the surgical treatment of tubal pregnancy. Transumbilical SPLS may therefore be offered as a feasible alternative to MPLS.

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Section: Introductionmentioning

confidence: 99%

Single-Port Laparoscopic Salpingectomy for Surgical Treatment of Tubal Pregnancy: Comparison with Multi-Port Laparoscopic Salpingectomy

Kim¹,

Park²,

Kim³

et al. 2013

Int. J. Med. Sci.

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“…During surgical procedure, the following concepts and techniques were considered: 6,9,[14][15][16] The salpingotomy must be as nontraumatic as possible. The crucial point is to avoid large coagulation of the tubal wall, which can lead to a tuboperitoneal fistula.…”

Section: Methodsmentioning

confidence: 99%

“…The high rate of failure in some series is largely explained by the use of inefficient suction devices. 15 The tube must be washed and explored to ensure complete removal of the trophoblast. It appears as a white tissue that can be removed using repeated suction or by grasping it gently with forceps.…”

Section: Methodsmentioning

confidence: 99%

Does Salpingotomy for Tubal Ectopic Pregnancy Always Require Methotrexate Prophylaxis?

Selim¹

2012

Journal of Gynecologic Surgery

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Objective: Some surgeons accept the concept of prophylactic methotrexate immediately post-linear salpingotomy for tubal ectopic pregnancy against odd of persistent trophoblast tissue (PTT); however, to avoid one case of PTT, 8 women would need to be treated with methotrexate. The aim of this study was to ascertain whether methotrexate is required immediately in all cases postoperatively. Methods: Women who underwent linear salpingotomy for unruptured ectopic pregnancy and who agreed to participate in this pilot study were assigned to postpone the prophylactic methotrexate that is given to patients with suspected PTT. PTT was suspected if there was a rise, plateau, or decline of < 50% at 2 days and 75% at 4 days post-surgery in the serum b-human chorionic gonadotrophin (hCG) levels. All women were followed with serial serum b-hCG levels; titers were measured on the 2nd and 4th postoperative days, and then weekly until they become undetectable. Results: A total of 22 women completed the postoperative follow-up. No women had suspected PTT, and methotrexate not given to any of the studied women. Conclusions: In spite of very small number of studied patients, it appears that postponing methotrexate to 2 or 4 days post-surgery can help to reserve this medication for situations in which unsatisfactory decrease in B-hCG levels are detected. ( J GYNECOL SURG 28:275)

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“…In fact, laparoscopic treatment of ectopic pregnancy reported for the first time was conservative [76]. It was later on that Dubuisson et al [77] proposed salpingectomy via laparoscopy.…”

Section: Surgical Treatment By Laparotomy or Laparoscopymentioning

confidence: 99%

Ectopic Pregnancy: Diagnosis, Prevention and Management

Abdulkareem¹,

Eidan²

2017

Obstetrics

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An ectopic pregnancy (EP) falls within the area of the gynecological emergency and/or reproductive management of women, which is the implantation of fertilized ovum outside the endometrial cavity. The etiology of EP concentrated mainly on factor causes delayed transport of the fertilized ovum through the fallopian tube (favors implantation in tubal mucosa), thus giving rise to EP. This chapter describes the causes, diagnosis, prevention and the guidelines to improve the management of women who may have an EP, a major gynecological emergency that is a cause of morbidity or even mortality of women in first trimester. Three types of EP are diagnosed: tubal, cervical and ovarian; tubal is the main type. Identification of the signs and symptoms of acute and chronic EP in women, involving classical clinical trials or other symptoms common to early pregnancy, as well as evaluating the most important congenital and acquired factors related with EP, were discussed. Explanation of the most accurate methods used to diagnose the pregnancy including serum beta hCG and progesterone levels, medical history, ultrasonography, pregnancy tests and laparoscopy was also clarified. The evaluation of the most effective management tools of EP, including methotrexate administration and surgery (laparotomy and laparoscopy), was obviously explained.

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Laparoscopic salpingectomy for tubal pregnancy

Cited by 60 publications

References 4 publications

Single-Port Laparoscopic Salpingectomy for Surgical Treatment of Tubal Pregnancy: Comparison with Multi-Port Laparoscopic Salpingectomy

Single-Port Laparoscopic Salpingectomy for Surgical Treatment of Tubal Pregnancy: Comparison with Multi-Port Laparoscopic Salpingectomy

Does Salpingotomy for Tubal Ectopic Pregnancy Always Require Methotrexate Prophylaxis?

Ectopic Pregnancy: Diagnosis, Prevention and Management

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