Salpingectomy compared with salpingotomy for ectopic pregnancy

DetailsAdditional comments
Review questionWhat is the effectiveness of salpingectomy compared with salpingotomy in improving outcomes in women with tubal ectopic pregnancy?
ObjectivesTo determine which operation leads to the best outcomes, salpingectomy or salpingotomy?
LanguageEnglish
Study designRCT

Systematic review of RCTs
In the absence of RCTs, non-RCT comparative studies will be included
StatusPublished papers
PopulationWomen who have a tubal ectopic pregnancy
InterventionSalpingectomy
ComparatorSalpingo(s)tomySalpingotomy/salpingostomy are often used interchangeably in the literature, therefore both will be considered.
OutcomesMaternal mortality

Need for a blood transfusion

Need for further intervention

Readmission

Ongoing pain

Surgical complications (including infection)

Subsequent intrauterine pregnancy rates

Recurrence risk
For subsequent intrauterine pregnancy rates and recurrence risk it will be important to consider length of follow-up
Other criteria for inclusion/exclusion of studiesExclude case series

Exclude non-tubal ectopic pregnancies

Exclude developing countries

Exclude studies where either group has < 10 participants

From: Appendix D, Review protocols

Cover of Ectopic Pregnancy and Miscarriage
Ectopic Pregnancy and Miscarriage: Diagnosis and Initial Management in Early Pregnancy of Ectopic Pregnancy and Miscarriage.
NICE Clinical Guidelines, No. 154.
National Collaborating Centre for Women's and Children's Health (UK).
London: RCOG; 2012 Dec.
Copyright © 2012, National Collaborating Centre for Women's and Children's Health.

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