Tubal Ectopic Pregnancy and Laparoscopic Transverse Incision Surgery Compared To Longitudinal Incision

Abstract

Introduction: The management and treatment of ectopic pregnancy has evolved dramatically in recent years. Presently, conservative therapy, both medical and surgical, prevails. The latter is manifested as a function of fertility despite the increase in tubal conditions.
Objective: Determine the use of the transverse salpingostomy technique with respect to the number of intrauterine pregnancies and subsequent relapses.
Methods: An experimental, longitudinal and prospective study was performed in patients diagnosed with ectopic pregnancy from 2007 to 2012 at Center for Medical-Surgical Research. 251 patients of childbearing age were the population of this study and they came to Center for Medical-Surgical Research emergency room for having low-grade pain, abnormal uterine bleeding and / or amenorrhea, who underwent diagnostic laparoscopy.This population consisted of 251 patients of childbearing age, who came to the Center for Medical-Surgical Research Guard Corps for having pain in the lower abdomen, abnormal uterine bleeding and / or amenorrhea. They underwent diagnostic laparoscopy. 204 of them were diagnosed of ectopic pregnancy, with 167 ampullaries. All women who underwent transverse salpingostomy showed interest in preserving fertility. 200 patients were the control sample ant they presented with ampullary ectopic pregnancy. These patients underwent longitudinal conservative surgery in an immediate previous period (2004-2007).
Results: It was demonstrated that by the transverse salpingostomy technique, greater number of intrauterine pregnancies were achieved (60); fewer ectopic recurrences (10) with highly significant values ​​with respect to linear salpingostomy.
Conclusions: The benefit of using transverse salpingostomy technique in relation to the number of pregnancies achieved was 4 times higher than the risk of developing relapses or complications in the period of one year.