In comparing laparoscopic salpingostomy versus laparotomy with salpingectomy for the treatment of ectopic pregnancy, laparoscopic therapy results in
Higher feility rate
Lower repeat ectopic pregnancy rate
Comparable persistent ectopic tissue rate
Greater scar formation
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 feility rates for laparoscopy and laparotomy are comparable, as are the implications of repeat ectopic pregnancies.Ceainly laparoscopy, because of its small incision, results in fewer breakdowns and shoer hospital stays, but the incidence of complications due to retained ectopic tissue is higher.
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