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Laparoscopic Tubal Surgery and Laparoscopic Management of Ectopic Pregnancy

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Gynaecological Endoscopic Surgery

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Abstract

The fallopian tube is a critical component of the female reproductive organ that conveys the egg and the fertilized ovum to the uterine cavity. Laparoscopic tubal surgery has evolved to encompass the disruption of the fallopian tube to prevent pregnancy (tubal ligation) and other forms of restorative tubal surgeries performed when there is a desire for fertility after tubal ligation or tubal diseases. These include reversal of tubal sterilization and tubal blockage operations such as fimbrioplasty, salpingolysis, neosalpingostomy, salpingostomy, laparoscopically guided hysteroscopic tubal cannulation, tubal disconnection and salpingectomy. Fallopian tubal disease is responsible for 25–35% of female infertility cases in developed countries and may contribute about 42–63.6% as a cause of infertility in Nigeria. Despite the rise in in vitro fertilization, surgery remains an acceptable treatment for tubal disease. Ectopic pregnancy is associated with significant morbidity and mortality, especially in resource-poor settings, where most of the patients present late with a ruptured ectopic. Diagnosis is often made using clinical methods, sensitive biochemical tests and high-resolution transvaginal ultrasonography. Laparoscopy has a dual purpose for both diagnostic and therapeutic functions. Treatment options are variable, and they depend on the site of ectopic pregnancy, surgeon experience and facilities available.

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References

  1. Serafini P, Batzofin J. Diagnosis of female infertility. J Reprod Med. 1989;34:29–40.

    CAS  Google Scholar 

  2. Sotrel G. Is surgical repair of the fallopian tubes ever appropriate? Rev Obstet Gynaecol. 2009;2(3):176–85. https://doi.org/10.3909/riog0078.

    Article  Google Scholar 

  3. Bello TO. Pattern of tubal pathology in infertile women on hysterosalpingography in Ilorin, Nigeria. Ann Afr Med. 2004;3(2):77–9.

    Google Scholar 

  4. Odunvbun WO, Oziga DV, Oyeye LO, Ojeogwu CL. Pattern of infertility among infertile couple in a secondary health facility in Delta State, South Nigeria. Trop J Obstet Gynaecol. 2018;35:244–8.

    Article  Google Scholar 

  5. Panti AA, Sununu YT. The profile of infertility in a teaching hospital in North West Nigeria. Sahel J. 2014;17:7–11.

    Article  Google Scholar 

  6. Yeola (Pate) ME, Gode D, Bora AK. Evolution of laparoscopy through the ages. Int J Recent Surg Med Sci. 2017;3(1):40–7.

    Google Scholar 

  7. Mishra RK. Textbook of practical laparoscopic surgery. 3rd ed. New Delhi: Jaypee Brothers Medical; 2013.

    Book  Google Scholar 

  8. Schnatz RH. Uterine tube (fallopian tube) anatomy. Medscape. 10 Dec 2014. Available at http://www.emedicine.medscape.com/article/1949193-overview#showall.

  9. Donnez J, editor. Atlas of operative laparoscopy and hysteroscopy. 3rd ed. London: Parthenon; 2007.

    Google Scholar 

  10. Mencaglia LL, editor. Manual of gynaecological laparoscopic surgery. 2nd ed. Tuttlingen: Endopress; 2015.

    Google Scholar 

  11. Practice Committee of the American Society for Reproductive Medicine. Role of tubal surgery in the era of assisted reproductive technology: a committee opinion. Fertil Steril. 2015;103:e37–43.

    Article  Google Scholar 

  12. Tasdemir N, Abali R, Celik C, Aksu E, Akkus D. Single-incision-two ports laparoscopic tubal ligation: a cost comparing and technique description. J Turk Germ Gynaecol Assoc. 2015;16(1):30–1. https://doi.org/10.5152/jtgga.2015.15132.

    Article  Google Scholar 

  13. Yoon TK, Sung HR, Kang HG, Cha SH, Lee CN, Cha KY. Laparoscopic tubal anastomosis: fertility outcome in 202 cases. Fertil Steril. 1999;72(6):1121–6.

    Article  CAS  Google Scholar 

  14. Jayakrishnan K, Baheti SN. Laparoscopic tubal sterilization reversal and fertility outcomes. J Hum Reprod Sci. 2011;4:125–9.

    Article  CAS  Google Scholar 

  15. Yashoda RA. A study on tubal recanalization. J Obstet Gynecol India. 2012;62(2):179–83. https://doi.org/10.1007/s13224-012-0165-5.

    Article  Google Scholar 

  16. Godin PA, Syrios K, Rege G, Demir S, Charitidou E, Wery O. Laparoscopic reversal of tubal sterilization; a retrospective study over 135 cases. Front Surg. 2019;5:79. https://doi.org/10.3389/fsurg.2018.00079.

    Article  Google Scholar 

  17. Audebert AJ, Pouly JL, Von Theobald P. Laparoscopic fimbrioplasty: an evaluation of 35 cases. Hum Reprod. 1998;13(6):1496–9. https://doi.org/10.1093/humrep/13.6.1496.

    Article  CAS  Google Scholar 

  18. Jean MK, Jean DKN, Yolande SM, Michel T, Anny N, Claude CN, et al. Laparoscopic fimbrioplasty and neosalpingostomy in female infertility: a review of 402 cases at the gynecological endoscopic surgery and human reproductive teaching hospital in Yaoundé-Cameroon. J Reprod Infertil. 2016;17(2):104–9.

    Google Scholar 

  19. Chu J, Harb HM, Gallos ID, Dhillon R, Al-Rshoud FM, Robinson L, Coomarasamy A. Salpingostomy in the treatment of hydrosalpinx: a systematic review and meta-analysis. Hum Reprod. 2015;30(8):1882–95. https://doi.org/10.1093/humrep/dev135.

    Article  CAS  Google Scholar 

  20. Chua SJ, Akande VA, Mol BWJ. Surgery for tubal infertility. Cochrane Database Syst Rev. 2017;(1):CD006415. https://doi.org/10.1002/14651858.CD006415.pub3.

  21. Rutherford AJ, Jenkins JM. Hull and Rutherford classification for infertility. Hum Fertil. 2002;5:S15–20.

    Article  Google Scholar 

  22. Ikechebelu JI, Eleje GU, Bhamare P, Joe-Ikechebelu NN, Okafor CD, Akintobi AO. Fertility outcomes following laparoscopy-assisted hysteroscopic fallopian tube cannulation: a preliminary study. Obstet Gynaecol Int. 2018:7060459, 6 p. https://doi.org/10.1155/2018/7060459.

  23. Allahbadia GN, Mangeshikar P, PaiDhungat PB, Desai SK, Gudi AA, Arya A. Hysteroscopic fallopian tube recanalisation using a flexible guide cannula and hydrophilic guide wire. Gynaecol Endosc. 2000;9(1):31–5. https://doi.org/10.1046/j.1365-2508.2000.00295.

    Article  Google Scholar 

  24. Snyman LC, Makulana T, Makin JD. A randomised trial comparing laparoscopy with laparotomy in the management of women with ruptured ectopic pregnancy. SAMJ. 2017;107(3):258–63.

    Article  CAS  Google Scholar 

  25. Hajenius PJ, Mol BWJ, Bossuyt PMM, Ankum WM, Van der Veen F. Interventions for tubal ectopic pregnancy. Cochrane Database Syst Rev. 2000;(1):CD000324. https://doi.org/10.1002/14651858.CD000324.

  26. Spiegelberg O. Zur Casuistic der Ovarialschwangerschaft. Arch Gynaekol. 1878;13:73.

    Article  Google Scholar 

  27. Moawad NS, Dayaratna S, Mahajan ST. Mini-cornual excision: a simple stepwise laparoscopic technique for the treatment of cornual pregnancy. JSLS. 2009;13(1):87–91.

    Google Scholar 

  28. Song T, Lee DH, Kim HC, Seong SJ. Laparoscopic tube-preserving surgical procedures for ectopic tubal pregnancy. Obstet Gynaecol Sci. 2016;59(6):512–8. https://doi.org/10.5468/ogs.2059.6.512.

    Article  Google Scholar 

  29. Kofinas JD, Purisch SE, Brandt JS, Montes M. Hysteroscopic removal of cervical ectopic pregnancy following failed intramuscular/intra-sac methotrexate: a case report. J Gynaecol Surg. 2012;28(5):369–71. https://doi.org/10.1089/gyn.2012.0006.

    Article  Google Scholar 

  30. Grindler NM, Ng J, Tocce K, Alvero R. Considerations for management of interstitial ectopic pregnancies: two case reports. J Med Case Rep. 2016;10:106. https://doi.org/10.1186/s13256-016-0892-9.

    Article  Google Scholar 

  31. Pan Y, Liu M-B. The value of hysteroscopic management of caesarean scar pregnancy: a report of 44 cases. Taiwanese J Obstet Gynaecol. 2017;56:139–42.

    Article  Google Scholar 

  32. Buxant F, Ansion MH, Noel JC, Anaf V, Simon P. Laparoscopic management of a cornual ectopic pregnancy. Gynaecol Surg. 2005;2:197–200. https://doi.org/10.1007/s10397-005-0098-4.

    Article  Google Scholar 

  33. Sanz LE, Verosko J. Hysteroscopic management of cornual ectopic pregnancy. Obstet Gynaecol. 2002;99(5 Pt 2):941–4.

    Google Scholar 

  34. Tinelli A, Hudelist G, Malvasi A, Tinelli R. Laparoscopic management of ovarian pregnancy. JSLS. 2008;12:169–72.

    Google Scholar 

  35. Kraemer B, Kraemer E, Guengoer E, Juhasz-Boess I, Solomayer E-F, Wallwiener D, Rajab TK. Ovarian ectopic pregnancy: diagnosis, treatment, correlation to Carnegie 16 and review based on a clinical case. Fert Ster. 2009;92(1):392.e13–5.

    Article  Google Scholar 

  36. Yanaihara A, Ohgi S, Motomura K, Hagiwara Y, Mogami T, Saito K, et al. An abdominal ectopic pregnancy following a frozen-thawed ART cycle: a case report and review of the literature. BMC Preg Childbirth. 2017;17:108. https://doi.org/10.1186/s12884-017-1294-8.

    Article  Google Scholar 

  37. Huang KJ, Lin KT, Wu CJ, Li YX, Chang WC, Sheu BC. Single-incision laparoscopic surgery using conventional laparoscopic instruments versus two-port laparoscopic surgery for adnexal lesions. Sci Rep. 2021;11:4118. https://doi.org/10.1038/s41598-021-82204-5.

    Article  CAS  Google Scholar 

  38. Weinberg L, Rao S, Escobar PF. Robotic surgery in gynaecology: an updated systematic review. Obstet Gynae Int. 2011;2011:852061, 29 p. https://doi.org/10.1155/2011/852061.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Fertility and Minimal Access Surgery Unit, Department of Obstetrics and Gynaecology, Federal Medical Centre Lokoja, Lokoja, Kogi State, Nigeria

    Adebayo Alade Adewole

  2. Department of Obstetrics and Gynaecology, Wuse District Hospital, Abuja, Nigeria

    Oluseyi Ayoola Asaolu

  3. Department of Obstetrics and Gynaecology, Asokoro District Hospital, Abuja, Nigeria

    Abdulhakeem Olajide Akintobi

Authors
  1. Adebayo Alade Adewole
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  2. Oluseyi Ayoola Asaolu
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  3. Abdulhakeem Olajide Akintobi
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Corresponding author

Correspondence to Adebayo Alade Adewole .

Editor information

Editors and Affiliations

  1. Assisted Reproduction Unit, Department of Obstetrics and Gynaecology, Gynescope Specialist Hospital and Madonna University, Port Harcourt, Rivers State, Nigeria

    Jude Ehiabhi Okohue

  2. Gynaecology Endoscopy and Assisted Reproduction Unit, Department of Obstetrics and Gynaecology Nnamdi Azikiwe University, Awka, Nigeria

    Joseph Ifeanyichukwu Ikechebelu

  3. Sheffield Teaching Hospitals NHS Foundat, Sheffield, UK

    Bolarinde Ola

  4. Reproductive Medicine, Kingston General Hospital, Kingstone upon Thames, UK

    Emmanuel Kalu

  5. Division of Gynecologic Oncology, York Hospital, York, PA, USA

    Okechukwu Ibeanu

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Adewole, A.A., Asaolu, O.A., Akintobi, A.O. (2022). Laparoscopic Tubal Surgery and Laparoscopic Management of Ectopic Pregnancy. In: Okohue, J.E., Ikechebelu, J.I., Ola, B., Kalu, E., Ibeanu, O. (eds) Gynaecological Endoscopic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-86768-3_16

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  • DOI: https://doi.org/10.1007/978-3-030-86768-3_16

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  • Print ISBN: 978-3-030-86767-6

  • Online ISBN: 978-3-030-86768-3

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