Laparoscopic Treatment of Ampullary Tubal Pregnancy

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Abstract
From 1980 to 1986, 300 ampullary tubal pregnancies were treated conservatively by laparoscopy. Failures secondary to incomplete removal of the trophoblast occurred in 2 cases. Among 120 patients without history of infertility who wished to become pregnant, an intrauterine pregnancy rate of 63% was achieved. Recurrent tubal pregnancy occurred in 8% of cases. Among patients with a history of microsurgical tuboplasty attempting conception following conservative laparoscopic procedures for tubal pregnancy, the intrauterine pregnancy rate was 27% and the recurrent tubal pregnancy rate was 22%. These data were similar to those obtained by laparotomy and proved that the laparoscopic salpingotomy must be the procedure of choice to treat the unruptured ampullary pregnancy. (J GYNECOL SURG 5:157, 1989)