Re-evaluation of the indication for and limitation of laparoscopic salpingotomy for tubal pregnancy

Predicting Success of Laparoscopic Salpingostomy for Ectopic Pregnancy

“…It compares favorably with most previous reports and it is one of the lowest reported. Although in concordance with previous studies, 1,34,35 we have found a direct correlation between the magnitude of hCG level and risk of persistent disease, the strength of our study is that it was conducted in a general population without any selection bias.…”

“…17,[32][33][34][35][36] Nevertheless, different studies have yielded conflicting results. 19,37 This discrepancy may be explained by the different definitions of failure, patient selection, and different operative skills.…”

Effect of Second-Look Laparoscopy on Subsequent Fertility Outcome After Laparoscopic Salpingostomy for Tubal Pregnancy: A Randomized Controlled Study

“…SLL was then performed only in the SLL group for pelvic assessment [8,9]. Fallopian tube patency was evaluated by the direct-viewing methylene blue test during SLL, and pelvic adhesiolysis or salpingoplasty was performed if pelvic adhesion or Fallopian tubal occlusion was found.…”

Does Salpingotomy for Tubal Ectopic Pregnancy Always Require Methotrexate Prophylaxis?

“…Concerning medical treatment, systemic administration of methotrexate has gained acceptance in selected patients. [4][5][6] Laparoscopic surgery has the following advantages: 1) relatively wide spectrum of indications; 2) easier operative conversion to laparotomy based on definite diagnosis under direct view; 3) evaluation of intraperitoneal findings other than the ectopic pregnancy; and 4) less invasiveness, which results in shorter hospital stay and faster return to everyday life, compared with laparotomy. 4,7,8 A well-recognized hazard after salpingotomy is persistent trophoblast.…”