Abstract

Laparoscopic surgery has gained wide acceptance in the treatment of ectopic pregnancy. The choice between conservative and demolitive treatment is related to various factors such as the extension and the localization of the ectopic sac, the condition of the tubal wall, and the presence of adhesions that could obstruct the future tubal function. Concerning the demolitive surgical approach, different endoscopic techniques have been proposed. We conducted a prospective study between April 1995 and June 1997 to compare two different techniques performed in the two participating centers: salpingectomy was performed by endoloop ligation in 15 women and by electroresection with bipolar coagulation in 21 patients. Inclusion criteria were (1) no interest for future fertility, (2) a ruptured tube that was surgically unsuitable for conservative treatment, (3) tubes with ectopic gestation previously operated on, and (4) a previous tubal pregnancy on the same side, expectantly treated. Both techniques had comparable results in safety, hospitalization, operative time, intraoperative and postoperative complications, reproductive outcome. In conclusion, the two techniques are comparable, but we have to emphasize the much lower cost of the bipolar technique. (J GYNECOL SURG 14:181, 1998)

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