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Saving Fallopian Tube Not Beneficial?
– Reported March 14, 2014
A new study from Wake Forest Baptist Medical Center observed pregnancy outcomes in regards to the two surgical treatments for ectopic pregnancy: salpingectomy, in which the fallopian tube is removed, or salpingotomy, in which the tube is preserved.
The focus of the study was to assess whether salpingotomy would improve rates of subsequent pregnancy by natural conception compared with salpingectomy. Researchers found that ongoing pregnancy by natural conception was about 61 percent after salpingotomy and 56 percent after salpingectomy. Ectopic pregnancy affects 3-percent of all pregnancies and is one of the leading causes of maternal death, but the surgical treatment choices have never been compared head to head, according to study co-author Tamer Yalcinkaya, M.D., reproductive endocrinologist at Wake Forest Baptist.
In women with a tubal pregnancy and a healthy opposite tube, salpingotomy does not significantly improve fertility prospects compared with salpingectomy, Yalcinkaya was quoted as saying. We have pondered what we should do, but its never been studied. This study provides an answer: saving the fallopian tube does not show any improved benefit.
For more information, go to:
http://www.thelancet.com/
SOURCE: The Lancet, February 2014