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