Spontaneous Pregnancy after Total Bilateral Salpingectomy: A Systematic Review of Literature.
J Minim Invasive Gynecol
; 29(2): 213-218, 2022 02.
Article
em En
| MEDLINE
| ID: mdl-34592466
ABSTRACT
OBJECTIVE:
To assess the occurrence of spontaneous pregnancy after a history of total bilateral salpingectomy (BS). DATA SOURCES A systematic search was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, searching MEDLINE, Embase, Google Scholar, PubMed, SCOPUS, and Web of Science from database inception to February 20, 2020. METHODS OF STUDY SELECTION We included women with a history of total BS for any indication with subsequent spontaneous pregnancy. Excluded were women who had a history of incomplete/partial salpingectomy or tubal occlusion, who had pregnancy after assisted reproductive technology, and whose pregnancy was not appropriately confirmed via beta-subunit of human chorionic gonadotropin or ultrasound. TABULATION, INTEGRATION, ANDRESULTS:
The systematic search retrieved 1942 articles; 39 studies were potentially eligible, and their full texts were reviewed. A total of 4 case reports were included. Total BS had been performed for other indications than permanent contraception in all cases. Pain was the most common presenting symptom. All 4 pregnancies were intrauterine in location. Treatment was based on desire to continue pregnancy and hemodynamic stability.CONCLUSION:
Spontaneous pregnancy after total BS is exceedingly rare. The present data suggest that it is reassuring to offer total BS as a form of permanent contraception. Prospective data are warranted to ascertain short- and long-term effects of total BS for permanent contraception including its efficacy.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Esterilização Tubária
/
Salpingectomia
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article