Evaluation of Fallopian Tube Function After Laparoscopic Salpingotomy for Ectopic Pregnancy

VernacularTitle:输卵管妊娠腹腔镜输卵管开窗术后输卵管功能的评估
Author: Xiaoming YU ; Jing GUAN
Publication Type:Journal Article
Keywords: Laparoscopic secondary surgery; Salpingotomy; Tubal ectopic pregnancy
From: Chinese Journal of Minimally Invasive Surgery 2015;(7):607-609
CountryChina
Language:Chinese
Abstract: Objective To assess patient ’ s fallopian tube function after laparoscopic salpingotomy for tubal ectopic pregnancy.Methods We observed the degree of pelvic adhesion and previous tubal patency by laparoscopic secondary exploration. The fallopian tube function were evaluated in 24 cases ( 26 fallopian tubes ) which had experienced laparoscopic salpingotomy. Results There were 4 cases of severe adhesions (16.7%), 4 cases of moderate adhesions (16.7%), 5 cases of mild adhesions (20.8%), and 11 cases of minor adhesions (45.8%).The status of fallopian tubes:tubal rapture and tissue absence were seen in 11 oviducts (42.3%), intact but obviously shortened oviduct with distal hydrops was seen in 11 oviducts (42.3%), and normal oviduct was recorded in 4 oviducts (15.4%).The methylene blue flow test was performed in the 26 tubes, showing 23 (88.5%) occluded and 3(11.5%) patent. Conclusions The fallopian tubes have incomplete shapes after laparoscopic tubal fenestration for ectopic pregnancy in most patients.We confirm that laparoscopic salpingotomy can not preserve the fertility effectively.