A Third Surgically Managed Ectopic Pregnancy after Two Salpingectomies Involving the Opposite Tube

Iwahashi, Naoyuki; Deguchi, Yoko; Horiuchi, Yuko; Ino, Kazuhiko; Furukawa, Ken‐Ichi

doi:10.1155/2017/1653529

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…9 Three consecutive tubal pregnancies following partial salpingectomies have been documented. 10,11 Contralateral fertilization of ovum with migration across the peritoneum, tubal recanalization and transperitoneal migration of ovum or spermatozoon have been documented as possible explanations of pregnancies. [12][13][14][15] The latter possibly explains the mechanism of pregnancy in our case.…”

Section: Discussionmentioning

confidence: 99%

Two Consecutive Ruptured Tubal Ectopic Pregnancies after Interval Bilateral Tubal Ligation

Owiny,

Acen,

Okeng

et al. 2024

IMCRJ

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Background Bilateral tubal ligation (BTL) is an effective permanent method of birth control that is surgically performed to block the woman’s fallopian tube and prevent the egg from meeting the sperm. It is preferred by women or couples who have achieved their reproductive potential and do not desire pregnancy. BTL carries a low risk of method failure with a subsequent pregnancy which is likely to be ectopic. We present a case of two consecutive ruptured tubal ectopic pregnancies following an interval BTL. Case Presentation A 40-year-old female, with 7 living children, who previously underwent an interval BTL, presented with acute abdominal pain for 2 days and amenorrhea for 6 weeks. She was stable but had generalized abdominal tenderness, guarding and rebound tenderness, and cervical motion tenderness. Her urine HCG was positive, and a trans-abdominal ultrasound scan revealed a tender echo-complex right adnexal mass, free fluid in the Cul-de-sac, and an empty uterine cavity, consistent with a ruptured right ectopic pregnancy. An emergency exploratory laparotomy was done with findings of a ruptured right distal tube containing products of conception, hemoperitoneum, and previous tubal ligation and left salpingectomy. A right total salpingectomy was done, and the excised right tube containing the mass was sent for histological examination, which revealed chorionic villi and hemorrhagic vascular decidual tissue in the fallopian tube, features suggestive of tubal ectopic pregnancy.

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Section: Discussionmentioning

confidence: 99%

Two Consecutive Ruptured Tubal Ectopic Pregnancies after Interval Bilateral Tubal Ligation

Owiny,

Acen,

Okeng

et al. 2024

IMCRJ

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show abstract

“…12 Salpingotomy did not result in a statistically significant higher incidence of recurrent ectopic pregnancy, compared with salpingectomy. 15 The fallopian tubes derive their blood supply from branches of the uterine and ovarian arteries. Salpingectomy may therefore potentially diminish collateral blood flow to the ovaries.…”

Section: Selim and Abdou Discussionmentioning

confidence: 99%

“…9,10,13 The second issue is that recurrent ectopic pregnancy in the remnant portion of the fallopian tube after partial salpingectomy has rarely been reported, with only nearly 20 cases reported in the last 30 years. [14][15][16] This study explored three concerns:…”

Section: Introductionmentioning

confidence: 99%

Is Distal Partial Salpingectomy with an Endoloop Ligature Safe, Fast, and Effective for Nonisthmic Tubal Ectopic Pregnancy in Low-Socioeconomic Status Countries?

Selim

Abdou²

2020

Journal of Gynecologic Surgery

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Objective: Total salpingectomy is the ''gold standard'' treatment for tubal ectopic pregnancy. This procedure avoids the risks of persistent trophoblasts and recurrent ipsilateral tubal pregnancies but affects ovarian blood supply. Is distal partial salpingectomy, using an Endoloop Ò Ligature (made with polydioxanone II a, violet monofilament; Ethicon, Somerville, NJ) an easy and fast way to remove the tubal fimbria, without producing a thermal destructive effect? Is the procedure minimally associated with risks of persistent trophoblast and recurrent ipsilateral tubal pregnancies? Should distal partial salpingectomy be recommended for nonisthmic tubal pregnancy, especially in countries of low socioeconomic status? Materials and Methods: In this controlled, comparative observational trial, 54 women with ampullary or fimbrial tubal ectopic pregnancies underwent laparoscopic salpingectomy. The patients were divided into 2 groups of 27 patients each. Group 1 underwent distal partial salpingectomy, using an Endoloop Ligature and group 2 underwent the gold standard total salpingectomy, using bipolar diathermy. Primary outcomes were duration of operative procedure and intraoperative hemoglobin loss; secondary outcomes were recurrent ectopic pregnancy in the ipsilateral tube, persistent trophoblast tissues, and spontaneous intrauterine pregnancy later. Results: Use of an Endoloop Ligature was associated with significantly shorter operating times and less intraoperative hemoglobin loss. No cases of recurrent ectopic pregnancies in the ipsilateral tubes or persistent trophoblast tissues were reported in both studied groups. Seventeen (62.9%) and 16 (59.2%) women achieved spontaneous intrauterine pregnancies during the follow-up period in both groups, respectively. Conclusions: Performing distal partial salpingectomy using an Endoloop Ligature is a safe, rapid, and effective procedure, compared to electrosurgical total salpingectomy. Further studies are still needed to support distal partial salpingectomy as a recommended treatment. ( J GYNECOL SURG 36:120

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Laparoscopy-assisted suprapubic salpingectomy ‘Kaya technic’ - a low-cost treatment of ectopic pregnancy

Kaya

Alay

Eren

et al. 2019

Journal of Obstetrics and Gynaecology

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A Third Surgically Managed Ectopic Pregnancy after Two Salpingectomies Involving the Opposite Tube

Cited by 3 publications

References 11 publications

Two Consecutive Ruptured Tubal Ectopic Pregnancies after Interval Bilateral Tubal Ligation

Two Consecutive Ruptured Tubal Ectopic Pregnancies after Interval Bilateral Tubal Ligation

Is Distal Partial Salpingectomy with an Endoloop Ligature Safe, Fast, and Effective for Nonisthmic Tubal Ectopic Pregnancy in Low-Socioeconomic Status Countries?

Laparoscopy-assisted suprapubic salpingectomy ‘Kaya technic’ - a low-cost treatment of ectopic pregnancy

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