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During surgery to treat young women with a tubal ectopic pregnancy, gynaecologists often face a dilemma over whether to preserve or remove the affected tube. It was believed that procedures to preserve the tube (salpingostomy or salpingotomy) might lead to a higher rate of future intrauterine pregnancy than tubal removal (salpingectomy).1 However, salpingotomy might be associated with increased risk of recurrent tubal pregnancy.
Owing to the paucity of good evidence on this issue, Mol and colleagues conducted a multicentre, randomised trial comparing the rates of on-going pregnancy …
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