Fertility Outcome and Recurrence of Ectopic Pregnancy in Patients with Tubal Ectopic Pregnancy underwent Laparoscopic Salpingectomy versus Laparoscopic Salpingostomy

Background: Patients with symptomatic ectopic pregnancy are treated surgically through either salpingectomy or salpingostomy. There is evidence that laparoscopic salpingectomy may reduce fertility due to the absence of one tube and in regard to the recurrence, some investigations have showed higher recurrence of ectopic pregnancy in salpingostomy than salpingectomy but some others have reported equal recurrence in both techniques. This study compares the effects of laparoscopic salpingectomy and laparoscopic salpingostomy on fertility outcome and recurrence of ectopic pregnancy. Method: This was a comparative study on a sample of pregnant women with tubal ectopic pregnancy who underwent a surgical treatment in a teaching hospital affiliated to Tehran University of Medical Sciences between 2014 and 2017. Women underwent either laparoscopic salpingectomy (group 1) or laparoscopic salpingostomy (group 2). Fertility outcome and the rate of recurrence of ectopic pregnancy were compared between the two groups. Results: In whole, 390 pregnant women were treated surgically for ectopic pregnancy. Of these, 213 patients attempted to become pregnant after the surgery and were entered into the study (107 in group 1 and 106 in group 2). The frequency of intrauterine pregnancy was 55 in group 1 and 64 in group 2 while the frequency of ectopic pregnancy recurrence was 4 in group 1 and 3 in group 2 (P = 0.45). Conclusion: The findings indicated that laparoscopic salpingectomy and laparoscopic salpingostomy did not significantly differ in recurrence of ectopic pregnancy and intrauterine fertility.