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As the surgical approach for ectopic pregnancies evolves from radical to conservative procedures, the potential hazard of persistent ectopic pregnancy has become increasingly pertinent. From September 1, 1986 to August 31, 1989, 11 women with persistent ectopic pregnancy after laparoscopic salpingostomy were diagnosed and treated at Yale-New Haven Hospital. Persistent ectopic pregnancy was suspected in nine cases because of symptoms and in two because of plateauing beta-hCG titers. Ten of 11 patients underwent repeat surgery. Eight had partial or complete salpingectomy of the involved ipsilateral tube, two had repeat salpingostomies, and one was treated with methotrexate. When the 11 women with persistent ectopic pregnancies were compared with 70 patients treated successfully by laparoscopic salpingostomy using multivariate stepwise logistic regression, smaller size of the ectopic (P less than .01) and fewer days of amenorrhea (P less than .05) predicted persistent ectopic pregnancy after laparoscopic salpingostomy. Based upon our experience, we believe that earlier-treated ectopic pregnancies (ie, fewer than 42 days of amenorrhea) and/or smaller ectopics (ie, 2.0 cm or less in diameter) require treatment with particular caution and close postoperative surveillance.
D B Seifer, and
J N Gutmann, and
M B Doyle, and
E E Jones, and
M P Diamond, and
A H DeCherney
November 1994,
Obstetrics and gynecology,
D B Seifer, and
J N Gutmann, and
M B Doyle, and
E E Jones, and
M P Diamond, and
A H DeCherney
March 1991,
Obstetrics and gynecology clinics of North America,
D B Seifer, and
J N Gutmann, and
M B Doyle, and
E E Jones, and
M P Diamond, and
A H DeCherney
November 1991,
Obstetrics and gynecology,
D B Seifer, and
J N Gutmann, and
M B Doyle, and
E E Jones, and
M P Diamond, and
A H DeCherney
December 1987,
Obstetrics and gynecology,
D B Seifer, and
J N Gutmann, and
M B Doyle, and
E E Jones, and
M P Diamond, and
A H DeCherney
February 1985,
Fertility and sterility,
D B Seifer, and
J N Gutmann, and
M B Doyle, and
E E Jones, and
M P Diamond, and
A H DeCherney
March 1998,
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology,
D B Seifer, and
J N Gutmann, and
M B Doyle, and
E E Jones, and
M P Diamond, and
A H DeCherney
April 1993,
Journal of laparoendoscopic surgery,
D B Seifer, and
J N Gutmann, and
M B Doyle, and
E E Jones, and
M P Diamond, and
A H DeCherney
October 2008,
The journal of obstetrics and gynaecology research,
D B Seifer, and
J N Gutmann, and
M B Doyle, and
E E Jones, and
M P Diamond, and
A H DeCherney
September 2010,
Obstetrics and gynecology,
D B Seifer, and
J N Gutmann, and
M B Doyle, and
E E Jones, and
M P Diamond, and
A H DeCherney
February 1999,
Obstetrics and gynecology,
