Kết quả phẫu thuật thai ngoài tử cung lặp lại tại Bệnh viện Phụ sản Trung ương

Recurrent ectopic pregnancy (REP) poses significant challenges in reproductive healthcare, imposing substantial financial burdens, psychological distress, and a heightened risk to a woman's natural fertility, particularly if bilateral salpingectomy becomes necessary. The global incidence of ectopic pregnancy, including recurrent cases, continues to rise, underscoring the critical need for effective management strategies. Understanding the optimal surgical outcomes for these complex cases is paramount for improving patient care and preserving reproductive potential. This study aims to evaluate the surgical outcomes of patients undergoing treatment for recurrent tubal ectopic pregnancy at the National Hospital of Obstetrics and Gynecology, providing valuable insights into current practices and their efficacy.

Gynecologists, obstetricians, reproductive health specialists, and medical researchers focused on ectopic pregnancy management.

This cross-sectional descriptive study investigated the surgical outcomes for 168 patients diagnosed with recurrent tubal ectopic pregnancy who underwent treatment at the National Hospital of Obstetrics and Gynecology between January 2022 and December 2024. The research aimed to comprehensively assess the efficacy and safety of surgical interventions for this challenging condition. Key findings revealed that laparoscopic surgery was the predominant approach, utilized in 98.8% of cases, highlighting its widespread acceptance. Salpingectomy, the removal of the affected fallopian tube, was the most common surgical method, accounting for 74.4% of procedures. Interestingly, the ectopic mass was predominantly located in the contralateral fallopian tube in 79.8% of patients, with only 20.2% occurring on the ipsilateral side. The study categorized the state of the ectopic masses, finding that 48.8% were unruptured, 42.9% were bleeding, and a smaller proportion, 7.7%, were ruptured. Patients generally experienced minimal blood loss, with 42.3% having insignificant blood loss and only 2.9% experiencing blood loss exceeding 500 ml. Furthermore, intraoperative complications were rare, with only 1.2% of patients experiencing bladder injury. The overall results underscore that repeated laparoscopic surgery for recurrent ectopic pregnancy is a highly effective and safe method, offering significant advantages in managing this complex condition and improving patient prognosis.