Partial tubal devascularisation: a novel procedure for tubal conservation in ectopic pregnancy.

JOURNAL OF OBSTETRICS AND GYNAECOLOGY(2019)

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摘要
Ectopic pregnancy is a serious condition that complicates 1-2% of pregnancies. Using surgical management is efficient, but may have an impact on future fertility. Although conservative tubal surgery has not been shown to have a significant advantage over a salpingectomy in terms of the future fertility potential, the conservative surgical techniques remain widely-utilised, particularly in the context of a contralateral diseased or absent tube. We hereby report a case series of a novel procedure to conserve the fallopian tube with the minimal risk of an incisional site bleeding through a partial segmental devascularisation. This technique seems to be an efficient method to minimise the intraoperative bleeding, limit the need for a blood transfusion, and yields a higher success rate of the procedure without jeopardising the blood supply and vitality of the tubes.
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关键词
Ectopic pregnancy,salpingostomy,salpingotomy,salpingectomy,tubal pregnancy,conservative tubal surgery
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