Document Type
Original Article
Abstract
Background: Ectopic pregnancy (EP) is the main cause of maternal death during the first trimester of pregnancy and accounts for approximately 10% of all pregnancy related deaths.
Aim of the work: The aim of this research is to observe fertility outcomes after laparoscopic tubal salpingotomy vs laparoscopic tubal salpingectomy in management of tubal ectopic. As regards decline in HCG and hystrosalpingogram (HSG) done 3 months post-operative.
Patient and Method: This prospective observational study was carried out in Gynecology and Obstetrics Department, El-Hussein University Hospital on 52 pregnant women diagnosed as tubal ectopic pregnancies in the period from 5/2021 to 10/2022. Our patients were obtained from both emergency units and elective operation.
Results: The decision among salpingotomy and salpingectomy is influenced by a variety of parameters, such as the age of the patient, the state of the tubes, the serum human chorionic gonadotropin (hCG) levels, and the patient's desire for future fertility.
Conclusion: Laparoscopic tubal salpingotomy can be offered for surgical management of tubal ectopic as regard future fertility, desire for pregnancy, surgical situation.
Keywords
Laparoscopic Tubal Salpingotomy; Tubal Ectopic; Fertility
Subject Area
Obstetrics and Gynecology
How to Cite This Article
Awadi, Ahmed Maher El; Anbar, Abd elrhman Mostafa Abd elrhman; and Mohamed, Ahmed Shaaban
(2024)
"Laparoscopic Tubal Salpingotomy versus Salpingectomy in Management of Tubal Ectopic: Impact on Future Fertility,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
1, Article 17.
DOI: https://doi.org/10.58675/2682-339X.2198
