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

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

Research output: Contribution to journalArticle

74 Scopus citations

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 - Mar 1993

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Seifer, D. B., Gutmann, J. N., Grant, W. D., Kamps, C. A., & DeCherney, A. H. (1993). Comparison of persistent ectopic pregnancy after laparoscopic salpingostomy versus salpingostomy at laparotomy for ectopic pregnancy. Obstetrics and gynecology, 81(3), 378-382.