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Journal articles on the topic 'Salpingotomie'

Author: Grafiati

Published: 4 June 2021

Last updated: 11 February 2022

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1

Yevtushenko, I. D., and S. V. Rybnikov. "Endosurgical treatment techniques of progressive tubal pregnancy." Bulletin of Siberian Medicine 5, no. 1 (March 30, 2006): 73–75. http://dx.doi.org/10.20538/1682-0363-2006-1-73-75.

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Research purpose: to increase the efficiency of endosurgical treatment of women with progressive tubal pregnancy. Research method: prospective analysis. Research subjects: in 75 female patients, to whom salpingotomy and salpingorrhaphy had been per-formed, tubal patency was found; in 10% - tubal patency was laboured; in 9,5% of patients there was an obstruction. In 52,9% of women, to whom salpingotomic orifice was not sutured, tubal patency was found; in 32,4% of patients tubal patency was disturbed; in 14,7% the fallopian tube was obstructed and in 17,6% of patients tubo-peritoneal fistula formed. Uterine pregnancy rate of salpingotomy and salpingorrhaphy - 34,1%, of women, to whom salpingotomic orifice was not sutured - 20,6%. Performance of endoscopic salpingotomy with suture of the defect at isthmial and ampullar location of the fetal ovum helps to increase the efficien-cy of surgical treatment of the ectopic pregnancy.

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2

CLAERHOUT F, TIMMERMAN D, and POPPE W. "Aanpak van persisterende ectopische zwangerschap na lineaire salpingotomie en methotrexaatbehandeling." Tijdschrift voor Geneeskunde 60, no. 5 (January 1, 2004): 340–45. http://dx.doi.org/10.2143/tvg.60.5.5001814.

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3

Tews, G., G. Tulzer, and T. Bohaumilitzky. "Intrauterine Geminischwangerschaft nach laparoskopischer Salpingotomie und Tubenverschluss mit PDS-Klips." Gynäkologisch-geburtshilfliche Rundschau 31, no. 4 (1991): 207–11. http://dx.doi.org/10.1159/000271658.

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4

Bonatz, Gabriele, E. Lehmann-Willenbrock, J. Hedderich, and K. Semm. "β-hCG-Verlauf nach pelviskopisch durchgeführter linearer Salpingotomie zur Therapie der Tubargravidität." Geburtshilfe und Frauenheilkunde 55, no. 01 (January 1995): 37–40. http://dx.doi.org/10.1055/s-2007-1022771.

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5

Jamard, A., M. Turck, A. D. Pham, M. Dreyfus, and G. Benoist. "Fertilité et risque de récidive après traitement chirurgical d’une grossesse extra-utérine : salpingotomie versus salpingectomie." Journal de Gynécologie Obstétrique et Biologie de la Reproduction 45, no. 2 (February 2016): 129–38. http://dx.doi.org/10.1016/j.jgyn.2015.08.005.

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6

Nicolaus, Kristin, Jorge Jimenez-Cruz, Dominik Bräuer, Thomas Lehmann, Anke Mothes, and Ingo Runnebaum. "Endometriosis and Beta-hCG > 775 IU/l Increase the Risk of Non-tube-preserving Surgery for Tubal Pregnancy." Geburtshilfe und Frauenheilkunde 78, no. 07 (July 2018): 690–96. http://dx.doi.org/10.1055/a-0635-8453.

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Abstract Introduction Tubal pregnancy is the most clinically relevant form of ectopic pregnancy. Surgery consisting of laparoscopic salpingotomy is the therapeutic gold standard. This study looked at risk factors for non-tube-preserving surgery. The aim was to determine a cut-off value for beta-hCG levels, which could be used to predict the extent of tubal surgery. Materials and Method 97 patients with tubal pregnancy who underwent primary salpingotomy in the Department of Gynecology and Obstetrics of Jena University Hospital between 2010 and 2016 were retrospectively analyzed. A prior medical history of risk factors such as adnexitis, ectopic pregnancy, tubal surgery, treatment for infertility and intrauterine pessary was included in the analysis. The study population was divided into two subgroups: (1) a group which underwent laparoscopic linear salpingotomy, and (2) a group which had laparoscopic partial tubal resection or salpingectomy. Risk factors for salpingectomy were determined using binary logistic regression analysis. Statistical analysis was done using SPSS, version 24.0, to identify risk factors for non-tube-preserving surgery. Results 68 patients (70.1%) underwent laparoscopic salpingotomy and 29 patients (29.9%) had laparoscopic salpingectomy. The two groups differed with regard to age (p = 0.01) but not with regard to the parameters ‘gestational age’, ‘viability and rupture status of the ectopic pregnancy’ or ‘symptoms at presentation’. Patients who were known to have endometriosis prior to surgery or who were diagnosed with endometriosis intraoperatively were more likely to undergo salpingectomy (OR: 3.28; 95% CI: 0.9 – 10.8; p = 0.05). Calculated mean beta-hCG levels were higher in the salpingectomy group compared to the group who had tube-preserving salpingotomy (3277.8 IU/l vs. 9338.3 IU/l, p = 0.01). A cut-off beta-hCG value of 775 IU/l prior to surgery was predictive for salpingectomy with a true positive rate of 86.2% and increased the probability that salpingectomy would be necessary (OR: 5.23; 95% CI: 0.229 – 0.471; p = 0.005). Conclusion Endometriosis and a beta-hCG value of more than 775 IU/l significantly increased the risk for non-tube-preserving surgery in women with tubal pregnancy.

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7

Clapp, Mara, and Jaou-Chen Huang. "Use of FloSeal Sealant in the Surgical Management of Tubal Ectopic Pregnancy." Case Reports in Obstetrics and Gynecology 2013 (2013): 1–3. http://dx.doi.org/10.1155/2013/906825.

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Background. Surgery is sometimes required for the management of tubal ectopic pregnancies. Historically, surgeons used electrosurgery to obtain hemostasis. Topical hemostatic sealants, such as FloSeal, may decrease the reliance on electrosurgery and reduce thermal injury to the tissue.Case. A 33-year-old G1 P0 received methotrexate for a right tubal pregnancy. The patient became symptomatic six days later and underwent a laparoscopic right salpingotomy. After multiple unsuccessful attempts to obtain hemostasis with electrocoagulation, FloSeal was used and hemostasis was obtained. Six weeks later, a hysterosalpingogram (HSG) confirmed tubal patency. The patient subsequently had an intrauterine pregnancy.Conclusion. FloSeal helped to achieve hemostasis during a laparoscopic salpingotomy and preserve tubal patency. FloSeal is an effective alternative and adjunct to electrosurgery in the surgical management of tubal pregnancy.

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8

Fujishita, A. "Laparoscopic salpingotomy for tubal pregnancy: comparison of linear salpingotomy with and without suturing." Human Reproduction 19, no. 5 (March 25, 2004): 1195–200. http://dx.doi.org/10.1093/humrep/deh196.

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9

Herrero, Rafael J. M., Sylvie Zafy, and Yvon Chitrit. "Bilateral tubal pregnancy and laparoscopic bilateral salpingotomy." Gynaecological Endoscopy 9, no. 3 (June 16, 2000): 205–7. http://dx.doi.org/10.1046/j.1365-2508.2000.00329.x.

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10

Odejinmi, Funlayo, and Reeba Oliver. "Salpingotomy versus salpingectomy in women with tubal pregnancy." Journal of Comparative Effectiveness Research 3, no. 3 (May 2014): 241–43. http://dx.doi.org/10.2217/cer.14.12.

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11

Ugur, Mustafa, Huseyin Yesilyurt, Seyide Soysal, and Oya Gokmen. "Prophylactic vasopressin during laparoscopic salpingotomy for ectopic pregnancy." Journal of the American Association of Gynecologic Laparoscopists 3, no. 3 (May 1996): 365–68. http://dx.doi.org/10.1016/s1074-3804(96)80065-x.

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12

Alsadi, Bassim. "Ectopic Pregnancy: Laparoscopic Conservative Treatment and Laparoscopic Salpingotomy." World Journal of Laparoscopic Surgery with DVD 11, no. 3 (2018): 138–46. http://dx.doi.org/10.5005/jp-journals-10033-1347.

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13

Hamaguchi, Daisuke, Akira Fujishita, Michiharu Kohno, Haruka Senoo, Hiroko Hiraki, Hiroyuki Araki, Shiko Yoshida, Masako Masuzaki, and Kohei Kotera. "Evaluation of predicting persistent ectopic pregnancy after laparoscopic salpingotomy." JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY 30, no. 2 (2015): 367–73. http://dx.doi.org/10.5180/jsgoe.30.367.

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14

Watanabe, Zen, Tadashi Watanabe, and Takanori Watanabe. "Surgical Outcomes of Laparoscopic Salpingotomy for Ampullary Tubal Pregnancy." JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY 28, no. 1 (2012): 459–64. http://dx.doi.org/10.5180/jsgoe.28.459.

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15

Zhao, Ting, Xiuhong Hou, Chunlin Su, and Qinjiao Wu. "Tubal hydatidiform mole treated with salpingotomy: A case report." Clinical Case Reports 7, no. 4 (February 19, 2019): 653–55. http://dx.doi.org/10.1002/ccr3.2037.

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16

Watanabe, Tadashi, Zen Watanabe, and Takanori Watanabe. "Reproductive outcomes after laparoscopic linear salpingotomy for isthmic tubal pregnancy." JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY 28, no. 1 (2012): 438–42. http://dx.doi.org/10.5180/jsgoe.28.438.

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17

Kaya, Hakan, Yasemin Babar, Sadik Ozmen, Okan Ozkaya, Mehmet Karci, Ali Riza Aydin, and Demir Ozbasar. "Intratubal Methotrexate for Prevention of Persistent Ectopic Pregnancy after Salpingotomy." Journal of the American Association of Gynecologic Laparoscopists 9, no. 4 (November 2002): 464–67. http://dx.doi.org/10.1016/s1074-3804(05)60520-8.

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18

GRIM, HARLEY. "Laparoscopic Linear Salpingotomy for Ectopic Pregnancy with the CO2 Laser." Journal of Gynecologic Surgery 4, no. 4 (January 1988): 229–33. http://dx.doi.org/10.1089/gyn.1988.4.229.

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19

Selim, Mohamed Fouad. "Does Salpingotomy for Tubal Ectopic Pregnancy Always Require Methotrexate Prophylaxis?" Journal of Gynecologic Surgery 28, no. 4 (August 2012): 275–79. http://dx.doi.org/10.1089/gyn.2011.0094.

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20

Hellemans, P., J. Gerris, M. Joostens, S. van der Meer, P. Verdonk, and M. Francx. "Serum hCG decline following salpingotomy or salpingectomy for extrauterine pregnancy." European Journal of Obstetrics & Gynecology and Reproductive Biology 53, no. 1 (January 1994): 59–64. http://dx.doi.org/10.1016/0028-2243(94)90139-2.

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21

Saavedra S., Jaime, Hernando Navarro Newball, and Carlos Díaz. "Embarazo ectópico: manejo laparoscópico ambulatorio." Revista Colombiana de Obstetricia y Ginecología 52, no. 1 (March 30, 2001): 79–85. http://dx.doi.org/10.18597/rcog.747.

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En un período de 5 años fueron operados por laparoscopia 122 embarazos ectópicos en la Clínica los Andes de la ciudad de Santiago de Cali.El diagnóstico al momento de la laparoscopia se clasificó así: Ístmico 18 casos (14,8%), ampular 88 (72,6%), cornual 4 (3,2%) fímbrico 12 (9,8%.)El grupo de edad en el cual esta patología se presentó con mayor frecuencia fue entre los 25 y 34 años, 80 casos.El tipo de procedimiento quirúrgico laparoscópico realizado fue: salpingotomia 88 casos (72%), salpinguectomia 19 (15,6%), reseción cornual 3 (2,5%), extracción fímbrica 12 (9,8%).En el 81% de los pacientes se utilizó vasopresina, y el 96,7% de éstos fueron manejados ambulatoriamente, presentándose en el 2,5% de los casos un embarazo ectópico persistente.De este trabajo se puede concluir que el manejo laparoscópico del embarazo ectópico es virtualmente posible en todos los pacientes con esta patología, demostrándose que en manos expertas y con los recursos adecuados esta técnica es segura y menos costosa que la cirugía abierta y el tratamiento médico.

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22

McLaughlin, Alicia, and Anneliese Strunk. "Salpingotomy in a Shingleback Skink (Tiliqua rugosa) with Subsequent Successful Parturition." Journal of Herpetological Medicine and Surgery 29, no. 1-2 (May 20, 2019): 27. http://dx.doi.org/10.5818/18-07-160.1.

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23

Nelson, Lawrence M., Raul A. Margara, and Robert M. L. Winston. "Primary and secondary closure of ampullary salpingotomy compared in the rabbit." Fertility and Sterility 45, no. 2 (February 1986): 292–95. http://dx.doi.org/10.1016/s0015-0282(16)49170-3.

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24

van Mello, N. M., F. Mol, B. C. Opmeer, E. W. de Bekker-Grob, M. L. Essink-Bot, W. M. Ankum, B. W. Mol, F. van der Veen, and P. J. Hajenius. "Salpingotomy or salpingectomy in tubal ectopic pregnancy: What do women prefer?" Reproductive BioMedicine Online 21, no. 5 (November 2010): 687–93. http://dx.doi.org/10.1016/j.rbmo.2010.06.034.

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25

Mol, F., N. M. van Mello, B. C. Opmeer, W. M. Ankum, B. W. Mol, and P. J. Hajenius. "Salpingotomy or salpingectomy in tubal ectopic pregnancy: what do women prefer?" Fertility and Sterility 92, no. 3 (September 2009): S58—S59. http://dx.doi.org/10.1016/j.fertnstert.2009.07.227.

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26

Takashima, A., T. Yano, K. Otaka, and T. Kinoshita. "Salpingotomy or salpingectomy—Criteria of Japan society of gynecological and obstetric endoscopy." Journal of the American Association of Gynecologic Laparoscopists 11, no. 3 (August 2004): S87. http://dx.doi.org/10.1016/s1074-3804(04)80497-3.

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27

O'Shea, Robert T., and Graeme R. St J. Thompson. "CO2 Laser Laparoscopic Salpingotomy for Treatment of Tubal Ectopic Pregnancies: Potential Limitations." Australian and New Zealand Journal of Obstetrics and Gynaecology 30, no. 4 (November 1990): 361–63. http://dx.doi.org/10.1111/j.1479-828x.1990.tb02030.x.

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28

O'Shea, Robert T., and Graeme R. St J. Thompson. "CO2 Laser Laparoscopic Salpingotomy for Treatment of Tubal Ectopic Pregnancies: Potential Limitations." Australian and New Zealand Journal of Obstetrics and Gynaecology 30, no. 3 (August 1990): 228–30. http://dx.doi.org/10.1111/j.1479-828x.1990.tb03219.x.

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29

Song, Taejong, Mi Kyoung Kim, Mi-La Kim, Yong Wook Jung, Bo Sung Yoon, and Seok Ju Seong. "Laparoscopic Salpingotomy Using the Floseal Hemostatic Sealant in Patients with Tubal Pregnancy." Journal of Laparoendoscopic & Advanced Surgical Techniques 24, no. 9 (September 2014): 651–55. http://dx.doi.org/10.1089/lap.2014.0179.

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30

van Arenthals, Jeanine, Nel Dekker, Ton Hanselaar, and Niek Exalto. "Morphology of the fallopian tube 6 weeks after salpingotomy: a case report." European Journal of Obstetrics & Gynecology and Reproductive Biology 28, no. 1 (May 1988): 79–84. http://dx.doi.org/10.1016/0028-2243(88)90063-9.

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31

Salleh, Suhaiza, and Ian Arthur. "Persistent peritoneal trophoblastic implantation following salpingotomy, salpingectomy, and methotrexate for ectopic pregnancy." Gynecological Surgery 2, no. 3 (May 21, 2005): 195–96. http://dx.doi.org/10.1007/s10397-005-0111-y.

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32

Černiauskaitė, Miglė, Brigita Vaigauskaitė, Diana Ramašauskaitė, and Mindaugas Šilkūnas. "Spontaneous Heterotopic Pregnancy: Case Report and Literature Review." Medicina 56, no. 8 (July 22, 2020): 365. http://dx.doi.org/10.3390/medicina56080365.

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Heterotopic pregnancy is defined as a condition when intrauterine and extrauterine pregnancy occur simultaneously. It is a life-threatening condition that requires immediate and accurate diagnostics and treatment. We present a case of a 28-year-old primigravida female who conceived spontaneously and at her seventh week of gestation and was presented to the emergency department with weakness and acute pain in lower abdomen. Laboratory tests and transvaginal ultrasonography revealed the diagnosis of heterotopic pregnancy. Urgent laparoscopic salpingotomy was chosen as a treatment option. The ectopic pregnancy was successfully removed with the preservation of the intrauterine embryo and fallopian tubes. The course of pregnancy after the surgery was without complications, and a healthy baby was delivered at the 39th week of gestation. When treated properly and on time, a heterotopic pregnancy can result in live childbirth with favorable outcomes for both the child and the mother.

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33

Herrera, Gustavo, and Fernando Jarufe. "Vulvoscopía y biopsia dirigida en la infección vulvar por virus papiloma humano." Revista Peruana de Ginecología y Obstetricia 42, no. 2 (August 3, 2015): 31–35. http://dx.doi.org/10.31403/rpgo.v42i1791.

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La infección vulvar con el virus papiloma humano (VPH) es la patología más prevalente de los genitales externos. Su presentación subclínica amerita el empleo de vulvoscopia y biopsia dirigida para el diagnóstico definitivo. Durante un año se efectuó el estudio vulvoscópico biópsico a 316 mujeres. En 86 casos (27%) se diagnosticó alguna patología vulvar, siendo la infección por VpH la más prevalente (68% de las vulvopatías). Dicha infección fue más frecuente en mujeres sexualmente activas y en la mitad de los casos cursó en forma subclínica, siendo puesta en evidencia sólo por vulvoscopia y biopsia. La horquilla y la cara interna de los labios menores fueron las localizaciones más afectadas. El empedrado fue la imagen vulvoscópica prevalente (45%). La infección afectó también el cérvix o la vagina en 20% de los casos; 45% de las pacientes con VPH vulvar presentaron algún grado de neoplasia cervical Los anticonceptivos orales, el DIU y la salpingotomía bilateral fueron factores de riesgo relacionados con el desarrollo de la infección vulvar.

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34

Herrera, Gustavo, and Fernando Jarufe. "Vulvoscopía y biopsia dirigida en infección vulvar por papiloma virus humano." Revista Peruana de Ginecología y Obstetricia 43, no. 2 (June 22, 2015): 116–20. http://dx.doi.org/10.31403/rpgo.v43i1036.

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La infección vulvar por papiloma virus humano (HPV) es la patología más prevalente de genitales externos. Su presentación subclínica amerita el empleo de vulvoscopía y biopsia dirigida para el diagnóstico definitivo. Durante un año, se efectuó el estudio vulvoscópico biópsico a 316 mujeres. En 86 casos (27,22%), se diagnosticó alguna patología vulvar, siendo la infección por HPV la más prevalente (68,6% de vulvopatías). Dicha infección fue más frecuente en mujeres sexualmente activas y en la mitad de casos cursó en forma subclínica, siendo puesta en evidencia sólo por vulvoscopía y biopsia. La horquilla y la cara interna de labios menores fueron las localizaciones más afectadas. El empedrado fue la imagen vulvoscópica prevalente (45,76%). La infección afectó también cérvix o vagina en 20% de casos; 45% de pacientes con HPV vulvar presentaron algún grado de neoplasia cervical. Los anticonceptivos orales, DIU y la salpingotomía bilateral fueron factores de riesgo relacionados con el desarrollo de infección vulvar.

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35

Kumakiri, Jun, Iwaho Kikuchi, Mari Kitade, Shozo Matsuoka, Sachiko Tokita, and Satoru Takeda. "Linear salpingotomy with suturing by single incision laparoscopic surgery for tubal ectopic pregnancy." Acta Obstetricia et Gynecologica Scandinavica 89, no. 12 (December 2010): 1604–7. http://dx.doi.org/10.3109/00016349.2010.518229.

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36

Price, S., and F. Imoh Ita. "A case of ectopic pregnancy within the tubal isthmus treated with laparoscopic salpingotomy." Journal of Obstetrics and Gynaecology 32, no. 6 (July 10, 2012): 602–3. http://dx.doi.org/10.3109/01443615.2012.685903.

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37

Kemmann, Ekkehard, Susan Trout, and Alfredo Garcia. "Can we predict patients at risk for persistent ectopic pregnancy after laparoscopic salpingotomy?" Journal of the American Association of Gynecologic Laparoscopists 1, no. 2 (February 1994): 122–26. http://dx.doi.org/10.1016/s1074-3804(05)80774-1.

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38

Maymon, Ron, Adrian Shulman, Reuvit Halperin, Amir Michell, and Ian Bukovsky. "Ectopic pregnancy and laparoscopy: review of 1197 patients treated by salpingectomy or salpingotomy." European Journal of Obstetrics & Gynecology and Reproductive Biology 62, no. 1 (September 1995): 61–67. http://dx.doi.org/10.1016/0301-2115(95)02165-4.

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39

Sato, Kenji, and Satoru Shiraishi. "Persistent tubal pregnancy presenting with postcoital hemorrhage following laparoscopic linear salpingotomy: A case report." JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY 24, no. 2 (2008): 318–21. http://dx.doi.org/10.5180/jsgoe.24.318.

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40

Mol, Femke, Norah M. van Mello, Annika Strandell, Karin Strandell, Davor Jurkovic, Jackie Ross, Kurt T. Barnhart, et al. "Salpingotomy Versus Salpingectomy in Women With Tubal Pregnancy (European Surgery in Ectopic Pregnancy Study)." Obstetrical & Gynecological Survey 69, no. 9 (September 2014): 545–47. http://dx.doi.org/10.1097/ogx.0000000000000097.

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41

Fujishita, Akira, Khaleque Newaz Khan, Michio Kitajima, Koichi Hiraki, Seiyou Miura, Tadayuki Ishimaru, and Hideaki Masuzaki. "Re-evaluation of the indication for and limitation of laparoscopic salpingotomy for tubal pregnancy." European Journal of Obstetrics & Gynecology and Reproductive Biology 137, no. 2 (April 2008): 210–16. http://dx.doi.org/10.1016/j.ejogrb.2007.01.016.

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42

Mol, F., N. M. van Mello, A. Strandell, D. Jurkovic, J. A. Ross, T. M. Yalcinkaya, K. T. Barnhart, et al. "Cost-effectiveness of salpingotomy and salpingectomy in women with tubal pregnancy (a randomized controlled trial)." Human Reproduction 30, no. 9 (July 13, 2015): 2038–47. http://dx.doi.org/10.1093/humrep/dev162.

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43

Raiti, Paul. "Prefemoral Salpingotomy and Salpingoscopy in a Red-Eared Slider (Trachemys scripta elegans) with Pathologic Egg Retention." Journal of Herpetological Medicine and Surgery 23, no. 3 (September 1, 2013): 60. http://dx.doi.org/10.5818/1529-9651-23.3.60.

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44

Spellacy, William N. "Correction to "Treatment of tubal ectopic pregnancy by salpingotomy with or without tubal suturing and salpingectomy"." Fertility and Sterility 55, no. 6 (June 1991): 1213–14. http://dx.doi.org/10.1016/s0015-0282(16)54385-4.

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45

Lund, Claus Otto, Lisbeth Nilas, Nannie Bangsgaard, and Bent Ottesen. "Persistent Ectopic Pregnancy after Linear Salpingotomy: A Non-Predictable Complication to Conservative Surgery for Tubal Gestation." Obstetrical & Gynecological Survey 58, no. 5 (May 2003): 310–11. http://dx.doi.org/10.1097/00006254-200305000-00012.

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46

Lund, Claus Otto, Lisbeth Nilas, Nannie Bangsgaard, and Bent Ottesen. "Persistent ectopic pregnancy after linear salpingotomy: a non-predictable complication to conservative surgery for tubal gestation." Acta Obstetricia et Gynecologica Scandinavica 81, no. 11 (November 2002): 1053–59. http://dx.doi.org/10.1034/j.1600-0412.2002.811110.x.

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47

Akter, Saida, and Sharmin Sultana. "Management of Ectopic Pregnancy in a Tertiary Care Hospital by Surgery." Bangladesh Journal of Obstetrics & Gynaecology 28, no. 1 (October 23, 2016): 21–25. http://dx.doi.org/10.3329/bjog.v28i1.29935.

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Introduction: Tubal ectopics if large, uncontrollably bleeding or severely damaged need radical surgery (salpingectomy), otherwise conservative surgery (salpingotomy, salpingostomy) is the way of operative management. Laparoscopic surgery usually done in case of haemodynamically stable condition.Objective: To explore the different ways of surgical management of ectopic pregnancy in a tertiary care hospital.Materials and methods: This cross sectional study was carried out in the Department of Obstetrics and Gynaecology, Shaheed Suhrawardy Hospital and Dhaka Medical College Hospital during August 2005 and June 2006. The study population consisted of 50 women with ectopic pregnancy. Selected women underwent meticulous history taking and physical examinations. Some investigations like ultrasonography, culdocentesis, urine for pregnancy tests were done. Patients were treated by either radical or conservative surgery.Results: All (100%) women had abdominal tenderness. Ectopic pregnancy was diagnosed by history, physical examination and culdocentesis (84%), ultrasonography (12%) and laparotomy (4%). Two (4%) women were treated by conservative surgery, while the rest by radical surgery; 40 (80%) underwent unilateral salpingectomy, 3 (6%) unilateral salpingectomy with contralateral tubectomy, 2 (4%) unilateral salpingo oophorectomy, 1 (2%) total abdominal hysterectomy and 2 (4%) resection of rudimentary horn.Conclusion: Most common diagnostic tools were by history, physical examination and culdocentesis and common management was unilateral salpingectomy.Bangladesh J Obstet Gynaecol, 2013; Vol. 28(1) : 21-25

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Lilungulu, Athanase, Willy Mwibea, Mzee Nassoro, and Balthazar Gumodoka. "A Case of Haematometra Secondary to Cervical Stenosis after Vesicle Vaginal Fistula Surgical Repair." Case Reports in Obstetrics and Gynecology 2017 (2017): 1–4. http://dx.doi.org/10.1155/2017/2303840.

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Background. Haematometra is a rare postobstetrics fistula surgical repair outcome complication; however the condition can be misinterpreted especially in limited resource areas that lack routine ultrasound guidance and with a slowly progressed increase in size of abdomen accompanied with a history of amenorrhoea together with a history of having unprotective sexual intercourse which may increase the possibility of being controversial to full-term gravid uterus. The causes of haematometra might be either due to congenital abnormality of the vaginal canal or acquired iatrogenically. However, any other cause that involved vaginal canal can be a predisposing factor of haematometra. We present a case of a 32-year-old female patient, who had obstetric fistula which was successfully repaired over the past two years. She presented with one-year-and-two-month history of an amenorrhoea that was progressive accompanied with distended abdomen to the extent of looking typically as the gravid uterus. Explorative laparotomy was performed successfully and surgical incision managed by hysterotomy and salpingotomy, whereby approximately ten liters of serosanguinous blood fluid mixed with blood clots was completely suctioned. Despite being a rare condition after vesicle vaginal fistula repair complication outcome, haematometra remains to be relatively common gynaecological condition among female adolescence during postpubertal period.

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Ting, Wan-Hua, Ho-Hsiung Lin, and Sheng-Mou Hsiao. "Factors Predicting Persistent Ectopic Pregnancy After Laparoscopic Salpingostomy or Salpingotomy for Tubal Pregnancy: A Retrospective Cohort Study." Journal of Minimally Invasive Gynecology 26, no. 6 (September 2019): 1036–43. http://dx.doi.org/10.1016/j.jmig.2018.10.004.

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Mol, Femke, Norah M. van Mello, Annika Strandell, Karin Strandell, Davor Jurkovic, Jackie Ross, Kurt T. Barnhart, et al. "Salpingotomy versus salpingectomy in women with tubal pregnancy (ESEP study): an open-label, multicentre, randomised controlled trial." Lancet 383, no. 9927 (April 2014): 1483–89. http://dx.doi.org/10.1016/s0140-6736(14)60123-9.

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