Surgical treatment for tubal pregnancies.

From these data, it seems highly likely that conservation of the involved tube does not substantially increase the risk of a future ectopic pregnancy, although it does slightly increase the chance of a subsequent intrauterine pregnancy. This advantage of conservative therapy is also demonstrable in patients with a repeat tubal pregnancy. Pregnancy rates after conservative operation still compare favorably with those after in vitro fertilization. There seems to be a slightly increased risk of persistent trophoblastic activity after laparoscopic conservative therapy compared with conservative surgical treatment by laparotomy, but prospective randomized data are lacking. The psychosocial and economic benefits of laparoscopic treatment are well established.