Comparison of persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for ectopic pregnancy

David Seifer, Jacqueline N. Gutmann, William D. Grant, Celia A. Kamps, Alan H. DeCherney

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

Objective: To compare persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for the treatment of intact ampullary ectopic pregnancy.Methods: We reviewed the medical records of 157 patients who had undergone salpingostomy for intact ampullary ectopic pregnancy at Yale-New Haven Hospital between September 1, 1986 and August 31,1991. One hundred three women had laparoscopic salpingostomy and 54 had salpingostomy at laparotomy.Results: Sixteen of 103 women (15.5%) undergoing laparoscopic salpingostomy were treated for persistent ectopic pregnancy, in contrast to one of 54 women (1.8%) who had salpingostomy by laparotomy. The adjusted odds ratio for persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for an intact ampullary ectopic pregnancy was 8.4, with 95% confidence interval 1.1−62 (P <.02). Stepwise logistic regression demonstrated that a laparoscopic approach to salpingostomy (P <.05), smaller ectopic size (P <.01), and fewer days of amenorrhea (P <.05) predicted persistent ectopic pregnancy.Conclusion: Persistent ectopic pregnancy is more likely after laparoscopic salpingostomy than after salpingostomy at laparotomy for intact ampullary ectopic pregnancy.

Original languageEnglish (US)
Pages (from-to)378-382
Number of pages5
JournalObstetrics and Gynecology
Volume81
Issue number3
StatePublished - 1993
Externally publishedYes

Fingerprint

Salpingostomy
Ectopic Pregnancy
Laparotomy
Amenorrhea

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Comparison of persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for ectopic pregnancy. / Seifer, David; Gutmann, Jacqueline N.; Grant, William D.; Kamps, Celia A.; DeCherney, Alan H.

In: Obstetrics and Gynecology, Vol. 81, No. 3, 1993, p. 378-382.

Research output: Contribution to journalArticle

Seifer, David ; Gutmann, Jacqueline N. ; Grant, William D. ; Kamps, Celia A. ; DeCherney, Alan H. / Comparison of persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for ectopic pregnancy. In: Obstetrics and Gynecology. 1993 ; Vol. 81, No. 3. pp. 378-382.
@article{2264f15ca4644340827ff631dac1b2bd,
title = "Comparison of persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for ectopic pregnancy",
abstract = "Objective: To compare persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for the treatment of intact ampullary ectopic pregnancy.Methods: We reviewed the medical records of 157 patients who had undergone salpingostomy for intact ampullary ectopic pregnancy at Yale-New Haven Hospital between September 1, 1986 and August 31,1991. One hundred three women had laparoscopic salpingostomy and 54 had salpingostomy at laparotomy.Results: Sixteen of 103 women (15.5{\%}) undergoing laparoscopic salpingostomy were treated for persistent ectopic pregnancy, in contrast to one of 54 women (1.8{\%}) who had salpingostomy by laparotomy. The adjusted odds ratio for persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for an intact ampullary ectopic pregnancy was 8.4, with 95{\%} confidence interval 1.1−62 (P <.02). Stepwise logistic regression demonstrated that a laparoscopic approach to salpingostomy (P <.05), smaller ectopic size (P <.01), and fewer days of amenorrhea (P <.05) predicted persistent ectopic pregnancy.Conclusion: Persistent ectopic pregnancy is more likely after laparoscopic salpingostomy than after salpingostomy at laparotomy for intact ampullary ectopic pregnancy.",
author = "David Seifer and Gutmann, {Jacqueline N.} and Grant, {William D.} and Kamps, {Celia A.} and DeCherney, {Alan H.}",
year = "1993",
language = "English (US)",
volume = "81",
pages = "378--382",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Comparison of persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for ectopic pregnancy

AU - Seifer, David

AU - Gutmann, Jacqueline N.

AU - Grant, William D.

AU - Kamps, Celia A.

AU - DeCherney, Alan H.

PY - 1993

Y1 - 1993

N2 - Objective: To compare persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for the treatment of intact ampullary ectopic pregnancy.Methods: We reviewed the medical records of 157 patients who had undergone salpingostomy for intact ampullary ectopic pregnancy at Yale-New Haven Hospital between September 1, 1986 and August 31,1991. One hundred three women had laparoscopic salpingostomy and 54 had salpingostomy at laparotomy.Results: Sixteen of 103 women (15.5%) undergoing laparoscopic salpingostomy were treated for persistent ectopic pregnancy, in contrast to one of 54 women (1.8%) who had salpingostomy by laparotomy. The adjusted odds ratio for persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for an intact ampullary ectopic pregnancy was 8.4, with 95% confidence interval 1.1−62 (P <.02). Stepwise logistic regression demonstrated that a laparoscopic approach to salpingostomy (P <.05), smaller ectopic size (P <.01), and fewer days of amenorrhea (P <.05) predicted persistent ectopic pregnancy.Conclusion: Persistent ectopic pregnancy is more likely after laparoscopic salpingostomy than after salpingostomy at laparotomy for intact ampullary ectopic pregnancy.

AB - Objective: To compare persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for the treatment of intact ampullary ectopic pregnancy.Methods: We reviewed the medical records of 157 patients who had undergone salpingostomy for intact ampullary ectopic pregnancy at Yale-New Haven Hospital between September 1, 1986 and August 31,1991. One hundred three women had laparoscopic salpingostomy and 54 had salpingostomy at laparotomy.Results: Sixteen of 103 women (15.5%) undergoing laparoscopic salpingostomy were treated for persistent ectopic pregnancy, in contrast to one of 54 women (1.8%) who had salpingostomy by laparotomy. The adjusted odds ratio for persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for an intact ampullary ectopic pregnancy was 8.4, with 95% confidence interval 1.1−62 (P <.02). Stepwise logistic regression demonstrated that a laparoscopic approach to salpingostomy (P <.05), smaller ectopic size (P <.01), and fewer days of amenorrhea (P <.05) predicted persistent ectopic pregnancy.Conclusion: Persistent ectopic pregnancy is more likely after laparoscopic salpingostomy than after salpingostomy at laparotomy for intact ampullary ectopic pregnancy.

UR - http://www.scopus.com/inward/record.url?scp=0027403292&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027403292&partnerID=8YFLogxK

M3 - Article

C2 - 8437790

AN - SCOPUS:0027403292

VL - 81

SP - 378

EP - 382

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 3

ER -