alexa The role of laparoscopy in the diagnosis and management of heterotopic pregnancies.
Reproductive Medicine

Reproductive Medicine

Gynecology & Obstetrics

Author(s): LouisSylvestre C, Morice P, Chapron C, Dubuisson JB

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The object of this report is to discuss diagnosis and treatment of heterotopic pregnancies. Thirteen consecutive cases referred to our institution are reviewed. In 54% of cases the heterotopic pregnancy was asymptomatic. The ectopic pregnancy was visualized prior to surgery in 69% of the cases. The treatment was surgical in every case and performed laparoscopically in 77% of cases. Ten patients underwent salpingectomy and three salpingostomy. In all, 60% of intrauterine pregnancies that were viable at the time of diagnosis of the heterotopic pregnancy had a favourable outcome. Diagnosis of heterotopic pregnancy is difficult. Laparoscopy allows both diagnosis and treatment, and the outcome of the intrauterine pregnancy is comparable to that obtained with laparotomy.

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This article was published in Hum Reprod. and referenced in Gynecology & Obstetrics

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