comparative study of laparoscopic salpingectomy versus saplingostomy in tubal pregancy

ABSTRACT

This study was performed to determine whether Laparoscopic Salpingostomy [L.os.] is preferable to Laparoscopic Salpingectomy [L.ec.] in the management of un-ruptured tubal pregnancy. Fifty patients diagnosed as un-ruptured tubal pregnancy were prospectively randomized to either [L.os.] or [L.ec.] from the emergency department of Obstet. Gynec, Zagazig University Hospital in the period between 1996 and 1998, each group included 25 patients. The two groups were compared for operation time, amount of blood loss, duration of hospital stay, persistence of ectopic pregnancy, decrease in level of beta-HCG and fertility outcome. The [L.ec.] group had a longer operative time, shorter hospital stay, lower incidence of persistent trophoblastic activity than the L.os. group [p<0.01]. Time interval until beta-HCG < 10 mU /ml and subsequent normal pregnancy rates were similar. Two repeat tubal pregnancies occurred in the [L.os.] group while non-noted in the [L.ec.] group in the follow up period of two years