Comparison of Persistent Ectopic Pregnancy After Laparoscopic Salpingostomy Versus Salpingostomy at Laparotomy for Ectopic Pregnancy

OBJECTIVE: METHODS: 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 salping...

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Veröffentlicht in:	Obstetrics and gynecology (New York. 1953) 1993-03, Vol.81 (3), p.378-382
Hauptverfasser:	SEIFER, DAVID B, GUTMANN, JACQUELINE N, GRANT, WILLIAM D, KAMPS, CELIA A, DeCHERNEY, ALAN H
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Cohort Studies Diseases of mother, fetus and pregnancy Female Gynecology. Andrology. Obstetrics Humans Incidence Laparoscopy Laparotomy Medical sciences Pregnancy Pregnancy, Tubal - epidemiology Pregnancy, Tubal - surgery Pregnancy. Fetus. Placenta Regression Analysis Retrospective Studies Risk Factors Salpingostomy
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Zusammenfassung:	OBJECTIVE: METHODS: 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:
ISSN:	0029-7844 1873-233X