A Systematic Review and Meta-analysis of Surgical Treatment of Ectopic Pregnancy with Salpingectomy versus Salpingostomy

ObjectiveTo evaluate the fertility outcomes of salpingectomy compared with those salpingostomy among patients treated for tubal ectopic pregnancies, including a separate analysis women risk factors along review surgical technique.Data SourcesSystematic and meta-analysis from 1990 to present through PubMed, Embase, CINAHL, Ovid MEDLINE. The search string included “tubal pregnancy” or “ectopic” as well “salpingectomy” various terms describing salpingotomy.Methods Study SelectionArticles studying who underwent management an pregnancy contrasted vs were reviewed. primary subsequent intrauterine (IUP) repeat (REP).Tabulation, Integration, ResultsTwo randomized controlled trials (RCTs), which consisted mostly classified low risk, 16 cohort studies included. In RCTs, there was no significant difference in odds IUP salpingotomy (odds ratio [OR] 0.97; 95% confidence interval [CI], 0.71–1.33). However, clinically meaningful noted studies, having lower chance after (OR 0.45; CI, 0.39–0.52). No OR REP 0.77; 0.41–1.47), but followed had cumulatively higher 0.73; 0.60–0.90).The subgroup examining within pathology found even more impressive lowering at-risk 0.30; 0.17–0.54), change direction rate favoring 1.96; 0.88–4.35).ConclusionSalpingectomy has clear advantages over salpingostomy, RCTs consisting mainly show between salpingostomy. inclusive all patients, likelihood spontaneous is decreased salpingectomy, salpingostomies may be especially underused disease.