Page 36 - WJOLS - World Journal of Laparoscopic Surgery

Laparoscopic Conservative Treatment and Laparoscopic Salpingotomy
Awareness of the possibility of an ectopic pregnancy is most study in France. Am J Obstet Gynecol 1999;180(4):938. DOI: 10.1016/
critical for early detection. Prompt diagnosis and proper treatment S0002-9378(99)70665-4.
may also play a role in the preservation of fertility after an ectopic 11. Stovall TG, Kellerman AL, et al. Emergency department diagnosis of
pregnancy. The increased knowledge of risk factors among ectopic pregnancy. Ann Emerg Med 1990;19(10):1098. DOI: 10.1016/
S0196-0644(05)81511-2.
clinicians and proper patient education have enabled an early and 12. Kadar N, DeVore G, et al. Discriminatory hCG zone: its use in the
accurate diagnosis of ectopic pregnancy. sonographic evaluation for ectopic pregnancy. Obstet Gynecol
Although surgical intervention has long been the gold standard 1981;58(2):156–161.
of ectopic treatment, medical management of unruptured ectopic 13. Cacciatore B, Sterman VH. Diagnosis of ectopic pregnancy by vaginal
pregnancy has emerged as a safe and effective alternative. ultrasonography in combination with a discriminatory serum HCG
Laparoscopic surgery remains the “gold standard” in majority of level of 1000 IU/L. BJOG 1990;97(10):904–908. DOI: 10.1111/j.1471-
women. 0528.1990.tb02445.x.
There is some evidence to suggest that future fertility 14. Counselman FL, Shaar GS, et al. Quantitative B-hCG levels less than
outcomes are slightly improved after tubal conservation at 1000 mIU/mL in patients with ectopic pregnancy: pelvic ultrasound
surgery in comparison with salpingectomy. Long-term follow-up still useful. J Emerg Med 1998;16(5):699–703. DOI: 10.1016/S0736-
4679(98)00081-X.
shows that the IUP rate in laparoscopy, medical management, 15. Lavie O, Boldes R, et al. Ultrasonographic “endometrial three-
and expectant management are all comparable, and the most layer” pattern: a unique finding in ectopic pregnancy. J Clin
important factor in surgical cases is the health of the contralateral Ultrasound 1996;24(4):179–183. DOI: 10.1002/(SICI)1097-
tube. As the incidence of ectopic pregnancy continues to rise in 0096(199605)24:4<179::AID-JCU4>3.0.CO;2-C.
a population that will likely desire future fertility, early diagnosis 16. Lopez HB, Micheelsen U, et al. Ectopic pregnancy and its associated
is key in facilitating safe utilization of more conservative endometrial changes. Gynecol Obstet Invest 1994;38:104. DOI:
management in the hope of preserving tubal function and 10.1159/000292459.
reproductive potential. 17. Hammoud AO, Hammoud I, et al. The role of sonographic endometrial
patterns and endometrial thickness in the differential diagnosis of
In the absence of clinically relevant predictive factors of failure ectopic pregnancy. Am J Obstet Gynecol 2005 May;192(5):1370–1375.
for a conservative surgical technique by laparoscopy, a standardized DOI: 10.1016/j.ajog.2004.12.039.
surgical technique and the use of appropriate instrumentation 18. Kirk E, Papageorghiou AT, et al. The diagnostic effectiveness of an
are recommended to achieve lower failure rates and reduce the initial transvaginal scan in detecting ectopic pregnancy. Hum Reprod
69
probability of persistent ectopic pregnacy. The strict respect 2007;22(11):2824–2828. DOI: 10.1093/humrep/dem283.
of the operative procedure is the best guarantee to prevent 19. van Mello NM, Mol F, et al. Ectopic pregnancy: how the diagnostic
persistent trophoblast after salpingostomy. Unfortunately, there and therapeutic management has changed. Fertil Steril 2012;98(5):
1066–1073. DOI: 10.1016/j.fertnstert.2012.09.040.
is no consensus in the literature regarding the optimal treatment 20. Barnhart KT, Simhan H, et al. Diagnostic accuracy of ultrasound
of tubal pregnancy for the maintenance of fertility. above and below the beta-hCG discriminatory zone. Obstet Gynecol
1999;94:583–587. DOI: 10.1097/00006250-199910000-00018.
21. Barnhart KT, Fay CA, et al. Clinical factors affecting the accuracy
references of ultrasonography in symptomatic first-trimester pregnancy.
1. Gibbs R, Danforth D, et al. Danforth’s Obstetrics and Gynecology. Obstet Gynecol 2011;117(2 Pt 1):299–306. DOI: 10.1097/
Lippincott Williams & Wilkins; 2008. AOG.0b013e3182050ed0.
2. Trabert B, Holt VL, et al. Population-based ectopic pregnancy 22. Kirk E, Bourne T. Diagnosis of ectopic pregnancy with ultrasound.
trends,1993–2007. Am J Prev Med 2011;40(5):556–560. DOI: 10.1016/ Best Pract Res Clin Obstet Gynaecol 2009;23(4):501–508. DOI: 10.1016/
j.amepre.2010.12.026. j.bpobgyn.2008.12.010.
3. Bouyer J, Coste J, et al. Sites of ectopic pregnancy: a 10 year 23. Bouyer J, Coste J, et al. Risk factors for ectopic regnancy: a
population-based study of 1,800 cases. Hum Reprod 2002;17(12):3224. comprehensive analysis based on a large case-control, population-
DOI: 10.1093/humrep/17.12.3224. based study in France. Am J Epidemiol 2003;157(3):185–194. DOI:
4. Goyaux N, Leke R, et al. Ectopic pregnancy in African developing 10.1093/aje/kwf190.
countries. Acta Obstet Gynecol Scand 2003;82:305–312. DOI: 24. Yao M, Tulandi T. Current status of surgical and nonsurgical
10.1034/j.1600-0412.2003.00175.x. management of ectopic pregnancy. Fertil Steril 1997;67(3):421–433.
5. Murray H, Baakdah H, et al. Diagnosis and treatment of ectopic DOI: 10.1016/S0015-0282(97)80064-7.
pregnancy. CMAJ 2005;173(8):905. DOI: 10.1503/cmaj.050222. 25. Khan KS, Wojdyla D, et al. WHO analysis of causes of maternal death:
6. Dart RG, Kaplan B, et al. Predictive value of history and physical a systematic review. Lancet 2006;367(9516):1066–1074. DOI: 10.1016/
examination in patients with suspected ectopic pregnancy. Ann S0140-6736(06)68397-9.
Emerg Med 1999;33(3):283–290. DOI: 10.1016/S0196-0644(99) 26. Van Den Eeden SK, Shan J, et al. Ectopic pregnancy rate and treatment
70364-1. utilization in a large managed care organization. Obstet Gynecol
7. Mol BW, Hajenius PJ, et al. Can noninvasive diagnostic tools predict 2005;105(5 Pt 1):1052–1057. DOI: 10.1097/01.AOG.0000158860.26939.2d.
tubal rupture or active bleeding in patients with tubal pregnancy? 27. Ankum WM, Mol BW, et al. Risk factors for ectopic pregnancy: a
Fertil Steril 1999;71(1):167–173. DOI: 10.1016/S0015-0282(98) meta-analysis. Fertil Steril 1996;65(6):1093–1099. DOI: 10.1016/S0015-
00418-X. 0282(16)58320-4.
8. Mol BW, Hajenius PJ, et al. Should patients who are suspected of 28. Barnhart KT, Casanova B, et al. Prediction of location of a symptomatic
having an ectopic pregnancy undergo physical examination? Fertil early gestation based solely on clinical presentation. Obstet Gynecol
Steril 1999;71(1):155–157. DOI: 10.1016/S0015-0282(98)00396-3. 2008;112(6):1319–1326. DOI: 10.1097/AOG.0b013e31818eddcf.
9. Casanova BC, Sammel MD, et al. Prediction of outcome in women with 29. Mol BW, Lijmer JG, et al. The accuracy of single serum progesterone
symptomatic first-trimester pregnancy: focus on intrauterine rather measurement in the diagnosis of ectopic pregnancy: a meta-
than ectopic gestation. J Womens Health (Larchmt) 2009;18(2):195. analysis. Hum Reprod 1998;13(11):3220–3227. DOI: 10.1093/humrep/
DOI: 10.1089/jwh.2008.0896. 13.11.3220.
10. Job-Spira N, Fernandez H, et al. Ruptured tubal ectopic pregnancy: 30. Seeber BE, Barnhar KT. Suspect ectopic pregnancy. Obstet Gynecol
risk factors and reproductive outcome: results of a population-based 2006;107(2 Pt 1):399–413. DOI: 10.1097/01.AOG.0000198632.15229.be.

144 World Journal of Laparoscopic Surgery, Volume 11 Issue 3 (September–December 2018)