Undisturbed tubal ectopic pregnancy: conservative laparoscopy or methotrexate?

This study compared systemic methotrexate and laparoscopic salpingotomy in the treatment of undisturbed tubal ectopic pregnancy. Outcome measures were treatment success, tubal preservation, homolateral tubal patency, and fertility potential after each treatment protocol. DesignThis study was designed as a prospective randomized clinical trial. Patients and methodsBetween January 2010 and November 2011, hemodynamically stable patients with undisturbed tubal pregnancy were randomly assigned systemic methotrexate (1.0 mg/kg dose of intramuscular methotrexate) or laparoscopic salpingotomy. Treatment success was defined as complete elimination of the tubal pregnancy (serum β-human chorionic gonadotropin
Source: Journal of Evidence-Based Women’s Health Journal Society - Category: OBGYN Tags: Original articles Source Type: research