Preservation of the fallopian tube in ectopic tubal pregnancy. An analysis of the outcome of two laparoscopic surgical approaches

Abstract

INTRODUCTION: The application of laparoscopic partial tubal resection with end-to-end anastomosis can reduce the incidence of persistent ectopic pregnancy. Aim: We aim to compare the therapeutic effects of laparoscopic fenestration and laparoscopic partial tubal resection with end-to-end anastomosis in the treatment of tubal ectopic pregnancy. Material and methods: The patients were randomly divided into the observation group (the group treated with laparoscopic partial tubal resection with end-to-end anastomosis, n=238) and the control group (the group treated with laparoscopic fenestration, n=213). The average operation time, intraoperative blood loss, postoperative exhaust time and hospital stay were observed to evaluate the clinical effect. In addition, the time required for the β-HCG to drop to normal level, the patency of the fallopian tubes and the ovarian function were observed in the two groups after the operation.

RESULTS: There was no significant difference between observation group operation time, intraoperative hemorrhagic amount, blood β-HCG recovery time and hospital time and control group (P > 0.05). The postoperative fallopian tube patency rate in the observation group was 67.58%, significantly higher than the control group (P < 0.05). In addition, there was no significant difference in ovarian function between the two groups.

CONCLUSIONS: The method of laparoscopic partial tubal resection with end-to-end anastomosis is more effective in the treatment of tubal ectopic pregnancy, and has less impact on ovarian function, which can effectively improve the probability of normal pregnancy after the operation.