Operative Treatment of Tubal Pregnancy

The Diagnosis and Treatment of Ectopic Pregnancy

“…Prospective randomized trials on the treatment of extrauterine pregnancy (EUP) (26,32,33) hCG, human chorionic gonadotropin; HR, hazard ratio; MTX, methotrexate; CI, confidence interval; PUL, pregnancy of unknown location; RR, relative risk; TP, tubal pregnancy Trial MTX or watchful waiting in women with an EUP or PUL and low hCG levels (26) Salpingotomy versus salping ectomy for women with TP (ESEP trial) (33) Organ-preserving procedures include linear salpingotomy, transampullary expression, or segmental resection (partial salpingectomy with primary or secondary reanastomosis); the main objective is the removal of only the trophoblastic tissue. Improved diagnostic methods now enable most patients to have elective rather than emergency surgery (28). Laparoscopy is the gold standard of surgical treatment for extrauterine pregnancy (Figure 3) (28,29).…”

“…Improved diagnostic methods now enable most patients to have elective rather than emergency surgery (28). Laparoscopy is the gold standard of surgical treatment for extrauterine pregnancy (Figure 3) (28,29). Laparotomy is performed only if laparoscopy is not possible for technical, logistic, or medical reasons.…”

“…Algorithm for the individualized surgical treatment of tubal pregnancy (TP), modified from Wallwiener et al(28) …”