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- W1978896629 abstract "To reiterate the importance of performing total salpingectomy for ectopic pregnancy, specially in those women with high risk for future ectopic pregnancy. Gynecologic Endoscopy unit at the Lifeline Hospital, Abudhabi. Two women with recurrent ectopic pregnancy in the ipsilateral tube after partial salpingectomy. CASE REPORTS: 1) 28 yr old primigravida presented with H/O 5 yrs infertility and previous ovarian cystectomy. She underwent IVF that resulted in a left sided ectopic pregnancy for which she had a laparotomy and partial salpingectomy elsewhere. Eighteen months later she had second IVF cycle which resulted in a recurrent left sided unruptured ectopic pregnancy. At laparoscopy she was found to have an ectopic pregnancy in the proximal remnant of the left tube which was duly excised. 2) 32 Yr old woman Para 3 with 2 previous caesarean sections, laparoscopic partial salpingectomy for unruptured ectopic pregnancy and umbilical hernia repair in the past, presented with abdominal pain and amenorrhoea of 38 days. The B HCG was 5714 IU and ultrasound showed a left sided echogenic mass suggestive of ectopic pregnancy. Patient was counselled for bilateral salpingectomy. At laparoscopy, the left proximal tubal stump was noted to be completely separated from the distal stump.The ectopic pregnancy mesuring around 4 cm was noted in the distal stump adherent to pouch of Douglas and left ovary. It was excised after releasing the adhesions. The proximal stump of left tube and right tube were later excised completly. Ectopic pregnancy is a common gynecologic emergency managed by junior staff during out of the regular hours and entails no more than resection of the affected tube to avoid problems they cannot handle. However it is a good practice to perform total salpingectomy at the initial surgery atleast in those women with high risk for recurrent ectopic pregnancy." @default.
- W1978896629 created "2016-06-24" @default.
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- W1978896629 date "2011-11-01" @default.
- W1978896629 modified "2023-09-25" @default.
- W1978896629 title "Recurrent Ectopic Pregnancy in the Ipsilateral Tube Following Partial Salpingectomy in High Risk Women: 2 Case Reports" @default.
- W1978896629 doi "https://doi.org/10.1016/j.jmig.2011.08.617" @default.
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