From the Research
The Zellenger technique is not a relevant or recommended approach in the context of ectopic pregnancy treatment, as the provided evidence focuses on surgical and medical management of ectopic pregnancy, with no mention of the Zellenger technique. When considering the treatment of ectopic pregnancy, the primary goal is to minimize morbidity, mortality, and preserve quality of life. The most recent and highest quality study, 1, published in 2022, highlights the successful treatment of spontaneous bilateral ectopic pregnancy using a combination of methotrexate, unilateral salpingectomy, and unilateral expulsion of pregnancy. Key points to consider in the treatment of ectopic pregnancy include:
- The use of methotrexate as a first-line treatment for ectopic pregnancy, particularly in patients who are hemodynamically stable and wish to preserve their fertility 2, 3.
- Laparoscopic salpingostomy as a preferred surgical method for women of reproductive age with tubal pregnancy 4.
- Salpingectomy as a better treatment option for women with severely damaged fallopian tubes, recurrent ectopic pregnancy in the same tube, uncontrolled bleeding after salpingostomy, large tubal pregnancy, heterotopic pregnancy, or those who have completed their family 4.
- The importance of considering the patient's individual circumstances, such as fertility desires and overall health, when selecting a treatment approach 1, 3. In terms of recurrence rates, a study published in 2017, 3, found that unilateral salpingectomy and methotrexate are associated with a similar recurrence rate of ectopic pregnancy in patients undergoing in vitro fertilization. Overall, the treatment of ectopic pregnancy should be individualized, taking into account the patient's specific needs and circumstances, and guided by the most recent and highest quality evidence available.