Abstract

DE LOS RIOS, José F et al. Fertility following laparoscopic treatment of ectopic pregnancy at the Prado Clinic in Medellín, Colombia: A cohort study. Rev Colomb Obstet Ginecol [online]. 2007, vol.58, n.4, pp.248-289. ISSN 0034-7434.

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.

Keywords : ectopic pregnancy; salpingectomy; salpingostomy; fertility; recurrence; persistence.

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