Fertility Outcome and Recurrence of Ectopic Pregnancy in Patients with Tubal Ectopic Pregnancy underwent Laparoscopic Salpingectomy versus Laparoscopic Salpingostomy

Background: Patients with symptomatic ectopic pregnancy are treated surgically through either salpingectomy or salpingostomy. There is evidence that laparoscopic salpingectomy may reduce fertility due to the absence of one tube and in regard to the recurrence, some investigations have showed higher recurrence of ectopic pregnancy in salpingostomy than salpingectomy but some others have reported equal recurrence in both techniques. This study compares the effects of laparoscopic salpingectomy and laparoscopic salpingostomy on fertility outcome and recurrence of ectopic pregnancy. Method: This was a comparative study on a sample of pregnant women with tubal ectopic pregnancy who underwent a surgical treatment in a teaching hospital affiliated to Tehran University of Medical Sciences between ۲۰۱۴ and ۲۰۱۷. Women underwent either laparoscopic salpingectomy (group ۱) or laparoscopic salpingostomy (group ۲). Fertility outcome and the rate of recurrence of ectopic pregnancy were compared between the two groups. Results: In whole, ۳۹۰ pregnant women were treated surgically for ectopic pregnancy. Of these, ۲۱۳ patients attempted to become pregnant after the surgery and were entered into the study (۱۰۷ in group ۱ and ۱۰۶ in group ۲). The frequency of intrauterine pregnancy was ۵۵ in group ۱ and ۶۴ in group ۲ while the frequency of ectopic pregnancy recurrence was ۴ in group ۱ and ۳ in group ۲ (P = ۰.۴۵). Conclusion: The findings indicated that laparoscopic salpingectomy and laparoscopic salpingostomy did not significantly differ in recurrence of ectopic pregnancy and intrauterine fertility.

Keywords:

Tubal pregnancy , Laparoscopy , Recurrence , Fertility , Ectopic pregnancy