Reproductive performance following conservative microsurgical management of tubal pregnancy
| Autor: | J. Morad, Howard Carp, Shlomo Mashiach, Serr Dm, Gabriel Oelsner |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Adult
Gynecology Microsurgery medicine.medical_specialty Pregnancy Ectopic pregnancy Obstetrics business.industry Incidence (epidemiology) Obstetrics and Gynecology medicine.disease Intrauterine pregnancy Embryo transfer Single tube Fertility medicine Humans Female Pregnancy Tubal In patient Radical surgery business Fallopian Tubes |
| Zdroj: | BJOG: An International Journal of Obstetrics and Gynaecology. 94:1078-1083 |
| ISSN: | 1471-0528 1470-0328 |
| DOI: | 10.1111/j.1471-0528.1987.tb02293.x |
| Popis: | Summary. Between 1981 and 1986, 58 women underwent conservative surgery for ectopic pregnancy; 30 had both tubes present, and 28 had the operation on their single tube. Twenty-five of the 30 women with both tubes present desired pregnancy; 17 (68%) conceived again, 14 (56%) had at least one intrauterine pregnancy and 3 (12%) had a repeat extrauterine pregnancy. Twenty-six of the women with a solitary tube desired pregnancy, 12 (46%) of them had at least one intrauterine pregnancy, and 10 (38.5%) had a repeat extrauterine pregnancy. It was concluded that the incidence of intrauterine pregnancy after conservative surgery in patients with both tubes present is not lower than after radical surgery, and that the incidence of extrauterine pregnancy is not higher. The intrauterine pregnancy rate in patients with a solitary tube is high and still higher than the best results available with in-vitro fertilization and embryo transfer. Therefore conservative surgery is indicated in these patients despite the high incidence of repeat extra-uterine pregnancy. Since most of the patients who conceived did so during the first year following the operation, we recommend that patients try to conceive immediately. |
| Databáze: | OpenAIRE |
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