Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-05T21:44:38.708Z Has data issue: false hasContentIssue false

Chapter 7 - Surgical Management of Ectopic Pregnancy

Published online by Cambridge University Press:  02 November 2018

Jeffrey M. Goldberg
Affiliation:
Cleveland Clinic
Ceana H. Nezhat
Affiliation:
Nezhat Medical Center, Atlanta
Jay Ira Sandlow
Affiliation:
Medical College of Wisconsin
Get access
Type
Chapter
Information
Reproductive Surgery
The Society for Reproductive Surgeons' Manual
, pp. 55 - 62
Publisher: Cambridge University Press
Print publication year: 2018

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Strandell, A, Thorburn, J, Hamberger, L. Risk factors for ectopic pregnancy in assisted reproduction. Fertil Steril. 1999;71(2):282–6.CrossRefGoogle ScholarPubMed
Creanga, AA, Shapiro-Mendoza, CK, Bish, CL, Zane, S, Berg, CJ, Callaghan, WM. Trends in ectopic pregnancy mortality in the United States: 1980–2007. Obstet Gynecol. 2011;117(4):837–43.CrossRefGoogle ScholarPubMed
Stulberg, DB, Cain, L, Dahlquist, IH, Lauderdale, DS. Ectopic pregnancy morbidity and mortality in low-income women, 2004–2008. Hum Reprod. 2016;31(3):666–71.CrossRefGoogle ScholarPubMed
Trabert, B, Schwartz, SM, Peters, U, et al. Genetic variation in the sex hormone metabolic pathway and endometriosis risk: an evaluation of candidate genes. Fertil Steril. 2011;96(6):1401–6.e3.CrossRefGoogle ScholarPubMed
Acharya, KS, Acharya, CR, Provost, MP, et al. Ectopic pregnancy rate increases with the number of retrieved oocytes in autologous in vitro fertilization with non-tubal infertility but not donor/recipient cycles: an analysis of 109,140 clinical pregnancies from the Society for Assisted Reproductive Technology registry. Fertil Steril. 2015;104(4):873–8.Google Scholar
Santos-Ribeiro, S, Tournaye, H, Polyzos, NP. Trends in ectopic pregnancy rates following assisted reproductive technologies in the UK: a 12-year nationwide analysis including 160,000 pregnancies. Hum Reprod. 2016;31(2):393402.Google Scholar
Morse, CB, Sammel, MD, Shaunik, A, et al. Performance of human chorionic gonadotropin curves in women at risk for ectopic pregnancy: exceptions to the rules. Fertil Steril. 2012;97(1):101,6.e2.Google Scholar
Richardson, A, Gallos, I, Dobson, S, Campbell, BK, Coomarasamy, A, Raine-Fenning, N. Accuracy of first-trimester ultrasound in diagnosis of tubal ectopic pregnancy in the absence of an obvious extrauterine embryo: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2016;47(1):2837.Google Scholar
Doubilet, PM, Benson, CB, Bourne, T, Blaivas, M, Society of Radiologists in Ultrasound Multispecialty Panel on Early First Trimester Diagnosis of Miscarriage and Exclusion of a Viable Intrauterine Pregnancy, Barnhart, KT, et al. Diagnostic criteria for nonviable pregnancy early in the first trimester. N Engl J Med. 2013;369(15):1443–51.CrossRefGoogle ScholarPubMed
Rajendiran, S, Senthil Kumar, GP, Nimesh, A, Dhiman, P, Shivaraman, K, Soundararaghavan, S. Diagnostic significance of IL-6 and IL-8 in tubal ectopic pregnancy. J Obstet Gynaecol. 2016:13.Google ScholarPubMed
Barnhart, KT. Novel diagnostic tests of ectopic pregnancy, if at first you don’t succeed. Am J Obstet Gynecol. 2015;212(1):46.CrossRefGoogle ScholarPubMed
Berry, J, Davey, M, Hon, MS, Behrens, R. Optimising the diagnosis of ectopic pregnancy. J Obstet Gynaecol. 2016;36(4):437–9.Google Scholar
Bharathan, R, Farag, M, Hayes, K. The value of multidisciplinary team meetings within an early pregnancy assessment unit. J Obstet Gynaecol. 2016;3:15.Google Scholar
Parker, VL, Srinivas, M. Non-tubal ectopic pregnancy. Arch Gynecol Obstet. 2016;294(1):1927.CrossRefGoogle ScholarPubMed
Hunt, SP, Talmor, A, Vollenhoven, B. Management of non-tubal ectopic pregnancies at a large tertiary hospital. Reprod Biomed Online. 2016;33(1):7984.CrossRefGoogle Scholar
Berry, J, Davey, M, Hon, MS, Behrens, R. A 5-year experience of the changing management of ectopic pregnancy. J Obstet Gynaecol. 2016;36(5):631–4.Google Scholar
Berretta, R, Dall’Asta, A, Merisio, C, et al. Tubal ectopic pregnancy: our experience from 2000 to 2013. Acta Biomed. 2015 14;86(2):176–80.Google Scholar
Taheri, M, Bharathan, R, Subramaniam, A, Kelly, T. A United Kingdom national survey of trends in ectopic pregnancy management. J Obstet Gynaecol. 2014;34(6):508–11.CrossRefGoogle ScholarPubMed
Sewell, CA, Anderson, JR. Update on trends for inpatient surgical management of tubal ectopic pregnancy in Maryland. South Med J. 2011;104(7):488–94.CrossRefGoogle ScholarPubMed
Hoover, KW, Tao, G, Kent, CK. Trends in the diagnosis and treatment of ectopic pregnancy in the United States. Obstet Gynecol. 2010;115(3):495502.CrossRefGoogle ScholarPubMed
Odejinmi, F, Rizzuto, I, Oliver, R, Alalade, A, Agarwal, N, Olowu, O. Beyond guidelines: effectiveness of a programme in achieving operative laparoscopy for all women requiring surgical management of ectopic pregnancy. Gynecol Obstet Invest. 2015;80(1):4653.Google Scholar
Jamard, A, Turck, M, Pham, AD, Dreyfus, M, Benoist, G. Fertility and risk of recurrence after surgical treatment of an ectopic pregnancy (EP): salpingostomy versus salpingectomy. J Gynecol Obstet Biol Reprod (Paris). 2016;45(2):129–38.Google Scholar
Li, J, Jiang, K, Zhao, F. Fertility outcome analysis after surgical management of tubal ectopic pregnancy: a retrospective cohort study. BMJ Open. 2015;5(9):e007339.CrossRefGoogle ScholarPubMed
Cheng, X, Tian, X, Yan, Z, et al. Comparison of the fertility outcome of salpingotomy and salpingectomy in women with tubal pregnancy: a systematic review and meta-analysis. PLoS One. 2016;11(3):e0152343.Google Scholar
Demirdag, E, Guler, I, Abay, S, Oguz, Y, Erdem, M, Erdem, A. The impact of expectant management, systemic methotrexate and surgery on subsequent pregnancy outcomes in tubal ectopic pregnancy. Ir J Med Sci. 2017;186(2):387–92.Google Scholar
Li, Z, Liu, J, Min, W, Zhang, D, Yang, X, Sun, Y. Effect of second-look laparoscopy on subsequent fertility outcome after laparoscopic salpingostomy for tubal pregnancy: a randomized controlled study. J Minim Invasive Gynecol. 2015;22(4):612–8.Google Scholar
Kayatas, S, Demirci, O, Kumru, P, Mahmutoglu, D, Saribrahim, B, Arinkan, SA. Predictive factors for failure of salpingostomy in ectopic pregnancy. J Obstet Gynaecol Res. 2014;40(2):453–8.Google Scholar
Mol, F, van Mello, NM, Strandell, A, et al. Cost-effectiveness of salpingotomy and salpingectomy in women with tubal pregnancy (a randomized controlled trial). Hum Reprod. 2015;30(9):2038–47.Google Scholar
Sahin, Y, Kelestimur, F. Medical treatment regimens of hirsutism. Reprod Biomed Online. 2004;8(5):538–46.Google Scholar
Karadeniz, RS, Tasci, Y, Altay, M, Akkus, M, Akkurt, O, Gelisen, O. Tubal rupture in ectopic pregnancy: is it predictable? Minerva Ginecol. 2015;67(1):13–9.Google ScholarPubMed
Mol, F, van Mello, NM, Strandell, A, et al. Salpingotomy versus salpingectomy in women with tubal pregnancy (ESEP study): an open-label, multicentre, randomised controlled trial. Lancet. 2014;383(9927):1483–9.Google Scholar
Odesjo, E, Bergh, C, Strandell, A. Surgical methods for tubal pregnancy – effects on ovarian response to controlled stimulation during IVF. Acta Obstet Gynecol Scand. 2015;94(12):1322–6.Google Scholar
Carbonnel, M, Revaux, A, Frydman, R, Yazigi, A, Ayoubi, JM. Single-port approach to benign gynecologic pathology. A review. Minerva Ginecol. 2015;67(3):239–47.Google Scholar
Nicollerat, JA. Elevated plasma glucose levels increase risk for complications. Diabetes Educ. 2000;26 Suppl:11–3.Google Scholar
Wang, J, Huang, D, Lin, X, et al. Incidence of interstitial pregnancy after in vitro fertilization/embryo transfer and the outcome of a consecutive series of 38 cases managed by laparoscopic cornuostomy or cornual repair. J Minim Invasive Gynecol. 2016;23(5):739–47.Google Scholar
Nikodijevic, K, Bricou, A, Benbara, A, et al. Cornual pregnancy: management and subsequent fertility. Gynecol Obstet Fertil. 2016;44(1):1116.Google Scholar
Moawad, NS, Mahajan, ST, Moniz, MH, Taylor, SE, Hurd, WW. Current diagnosis and treatment of interstitial pregnancy. Am J Obstet Gynecol. 2010;202(1):1529.Google Scholar
Grindler, NM, Ng, J, Tocce, K, Alvero, R. Considerations for management of interstitial ectopic pregnancies: two case reports. J Med Case Rep. 2016;10(1):106.Google Scholar
Leggieri, C, Guasina, F, Casadio, P, Arena, A, Pilu, G, Seracchioli, R. Hysteroscopic methotrexate injection under ultrasonographic guidance for interstitial pregnancy. J Minim Invasive Gynecol. 2016;23(7):1195–9.Google Scholar
Nirgianakis, K, Papadia, A, Grandi, G, McKinnon, B, Bolla, D, Mueller, MD. Laparoscopic management of ectopic pregnancies: a comparison between interstitial and “more distal” tubal pregnancies. Arch Gynecol Obstet. 2017;295(1):95101.Google Scholar
Afifi, Y, Mahmud, A, Fatma, A. Hemostatic techniques for laparoscopic management of cornual pregnancy: double-impact devascularization technique. J Minim Invasive Gynecol. 2016;23(2):274–80.CrossRefGoogle ScholarPubMed
Faioli, R, Berretta, R, Dall’Asta, A, et al. Endoloop technique for laparoscopic cornuectomy: a safe and effective approach for the treatment of interstitial pregnancy. J Obstet Gynaecol Res. 2016;42(8):1034–7.Google Scholar
Soriano, D, Vicus, D, Mashiach, R, Schiff, E, Seidman, D, Goldenberg, M. Laparoscopic treatment of cornual pregnancy: a series of 20 consecutive cases. Fertil Steril. 2008;90(3):839–43.Google Scholar
Ross, R, Lindheim, SR, Olive, DL, Pritts, EA. Cornual gestation: a systematic literature review and two case reports of a novel treatment regimen. J Minim Invasive Gynecol. 2006;13(1):74–8.Google Scholar
Liao, CY, Tse, J, Sung, SY, Chen, SH, Tsui, WH. Cornual wedge resection for interstitial pregnancy and postoperative outcome. Aust N Z J Obstet Gynaecol. 2017;57(3):342–5.Google Scholar
Tsafrir, A, Rojansky, N, Sela, HY, Gomori, JM, Nadjari, M. Rudimentary horn pregnancy: first-trimester prerupture sonographic diagnosis and confirmation by magnetic resonance imaging. J Ultrasound Med. 2005;24(2):219–23.Google Scholar
Hosni, MM, Herath, RP, Mumtaz, R. Diagnostic and therapeutic dilemmas of cervical ectopic pregnancy. Obstet Gynecol Surv. 2014;69(5):261–76.Google Scholar
Dibble, EH, Lourenco, AP. Imaging unusual pregnancy implantations: rare ectopic pregnancies and more. AJR Am J Roentgenol. 2016:113.Google ScholarPubMed
Goldberg, JM, Widrich, T. Successful management of a viable cervical pregnancy by single-dose methotrexate. J Womens Health Gend Based Med. 2000;9(1):43–5.Google Scholar
Frishman, GN, Melzer, KE, Bhagavath, B. Ectopic pregnancy in a cesarean-section scar: the patient >6 weeks into an ectopic pregnancy, underwent local treatment. Am J Obstet Gynecol. 2012;207(3):238.e1238.e2.Google Scholar
Abraham, RJ, Weston, MJ. Expectant management of a caesarean scar pregnancy. J Obstet Gynaecol. 2012;32(7):695–6.Google Scholar
Liu, S, Durai, S. Management of a case of caesarean scar pregnancy and all its complications. BMJ Case Rep. 2016 May 17;2016. DOI: 10.1136/bcr,2016–215111.Google Scholar
Polat, I, Ekiz, A, Acar, DK, et al. Suction curettage as first line treatment in cases with cesarean scar pregnancy: feasibility and effectiveness in early pregnancy. J Matern Fetal Neonatal Med. 2016;29(7):1066–71.Google Scholar
Joseph, RJ, Irvine, LM. Ovarian ectopic pregnancy: aetiology, diagnosis, and challenges in surgical management. J Obstet Gynaecol. 2012;32(5):472–4.Google Scholar
Melcer, Y, Smorgick, N, Vaknin, Z, Mendlovic, S, Raziel, A, Maymon, R. Primary ovarian pregnancy: 43 years experience in a single institute and still a medical challenge. Isr Med Assoc J. 2015;17(11):687–90.Google Scholar
Plotti, F, Di Giovanni, A, Oliva, C, Battaglia, F, Plotti, G. Bilateral ovarian pregnancy after intrauterine insemination and controlled ovarian stimulation. Fertil Steril. 2008;90(5):2015.e3–e5.Google Scholar
Perkins, KM, Boulet, SL, Kissin, DM, Jamieson, DJ, National ART Surveillance (NASS) Group. Risk of ectopic pregnancy associated with assisted reproductive technology in the United States, 2001–2011. Obstet Gynecol. 2015;125(1):70–8.CrossRefGoogle ScholarPubMed
Tsakos, E, Tsagias, N, Dafopoulos, K. Suggested method for the management of heterotopic cervical pregnancy leading to term delivery of the intrauterine pregnancy: case report and literature review. J Minim Invasive Gynecol. 2015;22(5):896901.CrossRefGoogle ScholarPubMed
Patel, C, Feldman, J, Ogedegbe, C. Complicated abdominal pregnancy with placenta feeding off sacral plexus and subsequent multiple ectopic pregnancies during a 4-year follow-up: a case report. J Med Case Rep. 2016;10:37.Google Scholar
Hymel, JA, Hughes, DS, Gehlot, A, Ramseyer, AM, Magann, EF. Late abdominal pregnancies (>/=20 weeks gestation): a review from 1965 to 2012. Gynecol Obstet Invest. 2015;80(4):253–8.Google Scholar
Kunwar, S, Khan, T, Srivastava, K. Abdominal pregnancy: methods of hemorrhage control. Intractable Rare Dis Res. 2015;4(2):105–7.CrossRefGoogle ScholarPubMed
Python, JL, Wakefield, BW, Kondo, KL, Bang, TJ, Stamm, ER, Hurt, KJ. Ultrasound-guided percutaneous management of splenic ectopic pregnancy. J Minim Invasive Gynecol. 2016;23(6):9971002.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×