Status of the fallopian tube following pelviscopic surgery (conventional versus laser) of tubal pregnancy

From 1984 to 1988, 136 patients with ectopic pregnancy were treated by endoscopic means. In 29 cases the fallopian tube was removed. In 107 patients conservative treatment was undertaken. The salpingotomy was performed with the endocoagulator and with scissors or using lasers. The postoperative status of the tube was controlled in 54 patients by hysterosalpingography (n = 17) or by second-look laparoscopy (n = 37). In 38 cases the patency test was positive. The incidence of postoperative adhesions was minimal after laser salpingotomy (16%). The complication rate was low (2%).