Clinical Analysis on Laparoscopic Salpingectomy for Ectopic Pregnancy Following IVF/ICSI-ET

ObjectiveTo investigate whether laparoscopic surgery is valuable during early pregnancy and its influence on delivery outcome of the patients.MethodsA retrospective analysis was undertaken of 14 heterotopic pregnancies conceived by IVF/ICSI-ET and underwent laparoscopic salpingectomy from December 2001 to September 2009.ResultsThe mean age of 14 patients was 29 ± 5.3 years with range of 21 – 39 years. The ectopic pregnancy was located in the ampulla (11 patients, 78.57%) and isthmus (3 patients, 21.43%). All 14 patients underwent successful laparoscopic salpingectomy without complications. Eleven (78.57%) patients delivered live singleton infants at full term via caesarean section while 3 (21.43%) had spontaneous abortion. The birth weight of viable newborns ranged from 2 600 g to 3 720 g and had a high Apgar score.ConclusionDuring early pregnancy, the heterotopic pregnancy should be diagnosed and treated early and laparoscopic salpingectomy can be a safe and effective choice. The well experienced surgeons and accessibility of the modern equipments are mandatory.