Treatment of tubal pregnancy

National rates, trends and determinants of inpatient surgical management of tubal ectopic pregnancy in the United States, 1998–2011

“…Salpingostomy may be preferable to salpingectomy in women possessing contralateral tubal pathology and other infertility factors . Although salpingostomy is an acceptable surgical treatment modality for tubal ectopic pregnancy, specific complications of salpingostomy include recurrent ectopic pregnancy in the same tube and the persistence of trophoblastic tissues . Two recent randomized controlled trials comparing salpingotomy/salpingostomy to salpingectomy demonstrated equivalent postsurgical pregnancy rates, and one of the trials demonstrated an increased risk of residual trophoblastic tissue in the salpingotomy/salpingostomy group .…”