Fertility following laparoscopic treatment of ectopic pregnancy at the Prado Clinic in Medellín, Colombia. A cohort study
DOI:
https://doi.org/10.18597/rcog.438Keywords:
ectopic pregnancy, salpingectomy, salpingostomy, fertility, recurrence, persistenceAbstract
Objective: obtaining and comparing fertility rates after laparoscopic salpingostomy and salpingectomy in patients suffering ectopic pregnancy.
Sample and design: a concurrent cohort of patients being operated on by laparoscopy for ectopic pregnancy in the Clínica del Prado’s Gynecological Endoscopic Surgery unit, Medellín, Colombia.
Methods: reviewing medical records and conducting a telephone questionnaire of patients who matched the inclusion criteria.
Main outcomes: overall intrauterine pregnancy rate, cumulative intrauterine pregnancy rate, recurrence rate, persistence rate.
Results: overall intrauterine pregnancy rate for the 31 patients following salpingostomy was 54.8% compared to 57.1% for the 14 patients in the salpingectomy group (p=0.88). Recurrence rates were 10.5% for the salpingostomy group and 20% for salpingectomy patients (p=0.77). There was 9.6% persistence of ectopic pregnancy in the salpingostomy group.
Conclusions: the present study did not demonstrate a statistically significant difference in the reproductive outcome of patients being laparoscopically managed by either salpingostomy or salpingectomy.
Author Biographies
José F. De los Ríos
Enrique Sánchez
Gabriel J. Matta
Mauricio Jaramillo
Adriana M. Arango
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