Laparoscopic Salpingostomy versus Methotrexate for Treatment of Undisturbed Tubal Ectopic Pregnancy
Ibraheem, H., Mohamed El Sayed, M., Nosser, W., Mansour, A. (2024). Laparoscopic Salpingostomy versus Methotrexate for Treatment of Undisturbed Tubal Ectopic Pregnancy. EKB Journal Management System, 30(1), 187-198. doi: 10.21608/zumj.2023.182654.2704
Hawwa Ahmed Ibraheem; Mohamed Lotfy Mohamed El Sayed; Waeel Sabry Nosser; Ahmed Elsayed Mansour. "Laparoscopic Salpingostomy versus Methotrexate for Treatment of Undisturbed Tubal Ectopic Pregnancy". EKB Journal Management System, 30, 1, 2024, 187-198. doi: 10.21608/zumj.2023.182654.2704
Ibraheem, H., Mohamed El Sayed, M., Nosser, W., Mansour, A. (2024). 'Laparoscopic Salpingostomy versus Methotrexate for Treatment of Undisturbed Tubal Ectopic Pregnancy', EKB Journal Management System, 30(1), pp. 187-198. doi: 10.21608/zumj.2023.182654.2704
Ibraheem, H., Mohamed El Sayed, M., Nosser, W., Mansour, A. Laparoscopic Salpingostomy versus Methotrexate for Treatment of Undisturbed Tubal Ectopic Pregnancy. EKB Journal Management System, 2024; 30(1): 187-198. doi: 10.21608/zumj.2023.182654.2704

Laparoscopic Salpingostomy versus Methotrexate for Treatment of Undisturbed Tubal Ectopic Pregnancy

Zagazig University Medical Journal
Article 19, Volume 30, Issue 1, January and February 2024, Page 187-198  XML PDF (1.23 MB)
Document Type: Original Article
DOI: 10.21608/zumj.2023.182654.2704
View on SCiNiTO View on SCiNiTO
Authors
Hawwa Ahmed Ibraheem email 1; Mohamed Lotfy Mohamed El Sayed2; Waeel Sabry Nosser2; Ahmed Elsayed Mansour2
1Department of Obstetrics & Gynecology, Faculty of Medicine, Omar Al-Mukhter University- Libya
2Department of Obstetrics & Gynecology, Faculty of Medicine, Zagazig University, Egypt
Abstract
Background: Laparoscopic salpingotomy is a well-established treatment for patients with tubal pregnancy who desire to retain fertility. Another approach that preserves the fallopian tube is medical treatment. This study aimed to evaluate the safety and efficacy of laparoscopic versus MTX treatment of well-selected cases of undisturbed ectopic pregnancy. Patients and methods: patients were divided into first group; 30 cases of undisturbed tubal pregnancy treated by MXT therapy. (25cases) by single dose and (5cases) by second dose: single dose regimen (MTX 50mg /m² IM) and second dose regimen. (MTX 50mg /m²IM) on 7th day. Second group; 30 cases of undisturbed tubal pregnancy treated by laparoscopic salpingostomy. Tubal patency tested after 8 weeks for all cases by hysterosalpingography. Outcome measures were treatment success, tubal preservation, homolateral tubal patency, and fertility potential after each treatment protocol. Results: There was a statistically significant higher frequency of tubal patency in methotrexate group compared to laparoscopic salpingostomy group, with p-value (p=0.007). Conclusions: Methotrexate is better than laparoscopic salpingostomy in treating undisturbed tubal pregnancy
Keywords
Laparoscopy; Methotrexate; Tubal pregnancy; Laparoscopic salpingostomy
Statistics
Article View: 120
PDF Download: 88