Laparoscopic Tubal Preservation Surgery
Study Details
Study Description
Brief Summary
Traditionally, salpingectomy has been the standard procedure for managing ectopic pregnancy. We would like to evaluate the safety and efficacy of laparoscopic tubal preservation surgery in treating ectopic pregnancies (salpingostomy or salpingotomy) while preserving the fertility outcome of the patients, as well as to identify the factors predicting the presence of persistent ectopic pregnancy after the surgery.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
All surgically-treated ectopic pregnancies in women aged 20 and above between 01 January 2009 and 31 December 2016 were identified. Cases receiving laparoscopic salpingostomy or laparoscopic salpingotomy were extracted from the database, patient characteristics and surgical outcomes (changes of serumĪ²-hcg, presence of persistent ectopic pregnancy and subsequent management, subsequent pregnancy) were reviewed from their medical records. Univariate and multivariate logistic regression analysis were employed to predict the presence of persistent ectopic pregnancy after laparoscopic tubal preservation surgery.
Study Design
Outcome Measures
Primary Outcome Measures
- peri- and post-operative parameters [between January 2009 and November 2016]
success rate of tubal preservation surgery (defined by postoperative serum bcg <5 IU/mL), postoperative complications (number of women who had adverse surgical outcome such as bladder injury, bowel injury, massive bleeding), pregnancy outcome (number of women who conceived successfully following the intervention)
Secondary Outcome Measures
- factors affecting the surgical success rate [between January 2009 and November 2016]
relationship between patient's baseline characteristics and rate of persistent ectopic pregnancy (unvariate and multivariate analysis)
Eligibility Criteria
Criteria
Inclusion Criteria:
- women who had laparoscopic tubal preservation surgery (including salpingostomy and salpingotomy) for ectopic pregnancy between January 2009 and November 2016
Exclusion Criteria:
- women with ectopic pregnancy at sites other than fallopian tube (i.e. interstitial, ovary, abdomen)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Far Eastern Memorial Hospital | Taipei | New Taipei City | Taiwan | 220 |
Sponsors and Collaborators
- Far Eastern Memorial Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 106002-E