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For tubal pregnancy, surgical treatment is usually best.

Authors
  • Gomel, V
Type
Published Article
Journal
Clinical Obstetrics & Gynecology
Publisher
Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins
Publication Date
Jun 01, 1995
Volume
38
Issue
2
Pages
353–361
Identifiers
PMID: 7554602
Source
Medline
License
Unknown

Abstract

Laparoscopic treatment of tubal pregnancy is safe and effective. It permits performance of both radical and conservative procedures. Irrespective of the mode of access, conservative procedures carry the risk of retention of trophoblastic tissue. Systemic methotrexate administration is effective in the treatment of retained trophoblastic tissue, especially if the diagnosis is made early, preferably within the first postoperative week. The subsequent reproductive outcome appears to be the same, irrespective of the mode of access (laparotomy or laparoscopy) by which the procedure is done.

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