Conservative Surgery Under Laparascope in the Treatment of Interstitial Tubal Pregnancy:a Report of 24 Cases

VernacularTitle:腹腔镜输卵管间质部妊娠切开取胚保守性手术24例报告
Author: Shuying FANG ; Yunyan WU ; Qing WEI
Publication Type:Journal Article
Keywords: Laparoscope; Tubal interstitial pregnancy; Conservative surgery; Tubal patency
From: Chinese Journal of Minimally Invasive Surgery 2014;(12):1109-1111
CountryChina
Language:Chinese
Abstract: Objective To explore the safety and feasibility of conservative laparoscopic salpingotomy and embryo removal . Methods A total of 24 patients with tubal interstitial pregnancy underwent laparoscopic salpingotomy and embryo removal between January 2012 and January 2014.A longitudinal incision was made on the bulge lesions under laparoscope .The gestational sac and affiliated organizations were removed and the incision was continuously sutured with absorption threads .Results The operation was completed in all the 24 patients.The operation time was ( 33.5 ±6.2 ) min, and the blood loss was ( 40.6 ±9.4 ) ml.No postoperative persistent salpingocyesis occurred .The postoperative serum β-hCG recovery time was (14.2 ±4.6) d.Postoperative hysterosalpingography showed unobstructed fallopian tube in 13 patients, connected but not patent in 4 patients, and blocked in 5 patients. Conclusion Laparoscopic salpingotomy and embryo removal is safe and effective , with the patency of fallopian tube partly retained.