The role of comprehensive examination and laparoscopy in the surgical treatment of tubal pregnancy

: A total of 253 patients were examined and operated on for ectopic pregnancy. Eight-six patients were operated on through a laparoscopic access (group 1) and 167 through a laparotomic access (group 2). The authors assess the diagnostic value of echography, measurement of b-subunit of chorionic gonadotrophin, puncture of the abdominal cavity through the posterior vaginal vault, and of histologic examination of scrapings off the endometrium in a complex of examinations of patients with ectopic pregnancy. The results demonstrated the advantages of the laparoscopic access over laparotomy as involving lesser bleeding to the abdominal cavity and no evident adhesions.