Possibility to save and recovery of fertility after surgical treatment of tubal pregnancy

Abstract

The efficacy of measures that improved postoperative rehabilitation of natural fertility in women after conservative surgical treatment of progressive tubal pregnancy (TP) was assessed. A randomized, controlled, open examination of 102 those who planned pregnancy, have undergone treatment endovideosurgical progressive TP was held. The improved complex of rehabilitation: 1) used anti-adhesive barrier; 2) bacteriological and virological examination of discharge from the fallopian tubes, followed by determination of sensitivity to antibiotics; 3) for the rehabilitation of the reproductive system, improve the regenerative processes in the fallopian tubes, and effective contraception for women of the main group in the postoperative period were appointed individually combined oral contraceptives (drospirenone 3 mg/ethinylestradiol 30 mcg) the duration of 9-12 months; 4) anti-inflammatory therapy (nonsteroidal anti-inflammatory drugs in the form of rectal suppositories, enzyme) was determined. The effectiveness of the improved complex to recovery of fertility in women after conservative surgical treatment of progressive TP was 80%.

Keywords

• tubal pregnancy
• conservative surgical treatment
• laparoscopy
• salpingotomy
• anti-adhesive barrier
• combined oral contraceptives
• fertility