In comparing laparoscopic salpingostomy vs. laparotomy with salpingectomy for the treatment of ectopic pregnancy, laparoscopic therapy results in
A. Decreased hospital staysB. Lower fertility rate
C. Lower repeat ectopic pregnancy rate
D. Comparable persistent ectopic tissue rate
The answer is a. Conservative
laparoscopic treatment of ectopic pregnancy is now commonplace, although not
yet universal. With increasing sophistication of techniques and fiberoptics,
many microsurgical procedures can be done through the laparoscope. Recent
studies suggest that the fertility rates for laparoscopy and laparotomy are
comparable, as are the implications of repeat ectopic pregnancies. Certainly
laparoscopy, because of its small incision, results in fewer break- downs and
shorter hospital stays, but the incidence of complications due to retained
ectopic tissue is higher.
