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ISSN 1995-9427 (Print)

2016, Number 1

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Invest Medicoquir 2016; 8 (1)

Conservative surgery and transversal tubal incision through a laparoscopic surgery in an ampullary tubal pregnancy

Vasallo PR, Sarduy NM, Martínez CI, Molina PL, Ortiz RJ

Language: Spanish
References: 17
Page: 68-81
PDF size: 438.38 Kb.


ABSTRACT

Introduction: The advances in laboratory and imaging techniques in recent decades allows to reach an early diagnosis of ectopic pregnancy, sometimes even before the patient feels the symptoms. Management and treatment of ectopic pregnancy has also evolved impressively in recent years, so that an early diagnosis leads to more conservative surgery predominantly. Methods. A quasi-experimental, prospective and longitudinal study was conducted in patients with lower abdominal pain, abnormal uterine bleeding and/or amenorrhea, who attended the Emergency Room at the Center of Medical Surgical Research (CIMEQ) in the period from 2007 to 2012. The population under study was composed of 251 patients of childbearing age who underwent diagnostic laparoscopy, according to the diagnostic algorithm scheme created for this purpose. Results. Out of the total, 204 were diagnosed with ectopic pregnancy, located in an ampullar region, 167 had conservative surgery, using the transversal salpingostomy technique; the other 31 patients underwent partial or total salpingostomy as it was nonampullar ectopic pregnancy. Six patients had tubal abortions due to a fimbrial location. There were a larger number of new intrauterine pregnancies during the postoperative year than the number of ectopic pregnancy relapses. Conclusions. It was shown that the technique of cross salpingostomy increased the numbers of intrauterine pregnancies and decreased relapses of ectopic ones; highly significant values as compared to the linear salpingostomy were achieved, which means a better anatomical and functional recovery of the tubal damage.


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