Salpingotomy versus salpingectomy in women with tubal pregnancy (ESEP study): an open-label, multicentre, randomised controlled trial

F. Mol, N.M. van Mello, A. Strandell, K. Strandell, D. Jurkovic, J. Ross, K.T. Barnhart, T.M. Yalcinkaya, H.R. Verhoeve, G.C.M. Graziosi, C.A.M. Koks, I. Klinte, L. Hogström, I.C.A.H. Janssen, H. Kragt, A. Hoek, T.C.M. Trimbos-Kemper, F.J.M. Broekmans, W.N.P. Willemsen, W.M. AnkumB.W. Mol, M. van Wely, F. van der Veen, H. van Dessel, the European Surgery in Ectopic Pregnancy (ESEP) study group, P.J. Hajenius

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background tubal ectopic pregnancy can be surgically treated by salpingectomy, in which the affected fallopian tube is removed, or salpingotomy, in which the tube is preserved. Despite potentially increased risks of persistent trophoblast and repeat ectopic pregnancy, salpingotomy is often preferred over salpingectomy because the preservation of both tubes is assumed to offer favourable fertility prospects, although little evidence exists to support this assumption. We aimed to assess whether salpingotomy would improve rates of ongoing pregnancy by natural conception compared with salpingectomy.
Original languageEnglish
Pages (from-to)1483-1489
JournalLancet
Volume383
Issue number9927
DOIs
Publication statusPublished - 1 Jan 2014

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