Results of operative pelviscopy in 202 cases of ectopic pregnancy

Abstract

This study presents 202 cases of ectopic pregnancy treated by pelviscopy over 9 years, from 1978 to 1987. The tube was conserved in 177 patients, and a salpingectomy was performed in 25 cases. The former group includes 24 cases of tubal abortion. Longitudinal salpingectomy, to extract the products of conception, was performed in the remainder of cases (153), in 14 of which tubal rupture had already occurred. Postoperative bleeding demanded repeated pelviscopy in three cases, and laparotomy in two. Postoperative infection required salpingectomy in one case. One patient underwent laparotomy in another hospital, and in two cases, chorionic villi were found within a hematosalpinx at re-pelviscopy. The pregnancy rate in 74 patients desiring pregnancy was 57%. The recurrence rate of ectopic pregnancy in both the ipsi- and contralateral tube was 7%.