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Therapeutics
Randomised controlled trial
Salpingectomy for tubal ectopic pregnancy is appropriate in the presence of healthy-looking contralateral tube
  1. Togas Tulandi
  1. Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada
  1. Correspondence to : Professor Togas Tulandi, Department of Obstetrics and Gynecology, McGill University Health Center, 687 Pine Ave. West, Montreal, Quebec, Canada H3A 1A1; togas.tulandi{at}mcgill.ca

https://doi.org/10.1136/ebmed-2014-110038

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    Commentary on: Mol F, van Mello NM, Strandell A, et al. Salpingotomy versus salpingectomy in women with tubal pregnancy (ESEP study): an open-label, multicentre, randomised controlled trial. Lancet 2014;383:1483–9.OpenUrlCrossRefPubMedWeb of Science

    Context

    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 by …

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    Footnotes

    • Competing interests None.