Surgical treatment of tubal ectopic pregnancy through posterior colpotomy: experience from a Brazilian university hospital
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The objective of this study was to evaluate the feasibility of posterior colpotomy for the surgical treatment oftubal ectopic pregnancy in hemodynamically stable women. We performed a retrospective analysis of medicalrecords obtained over a period of 18 months. Twelve cases were identified, with the following characteristics: meangestational age, 7.7 weeks; mean serum β-human chorionic gonadotropin level, 7,786 mIU/mL; and greater diameterof the mass, 15–69 mm. Treatment was successful in all cases. Salpingectomy was performed in 10 patients (83.3%)and salpingostomy, in 1 patient. The remaining patient only received peritoneal lavage, as the evidence of ectopicabortion with only a slightly dilated uterine tube was found during surgery. The mean surgical time was 42.5 minutes. In the analyzed cases, posterior colpotomy was found to be a feasible alternative method for the surgical treatmentof tubal ectopic pregnancy in hemodynamically stable women.
Abstract
The objective of this study was to evaluate the feasibility of posterior colpotomy for the surgical treatment oftubal ectopic pregnancy in hemodynamically stable women. We performed a retrospective analysis of medicalrecords obtained over a period of 18 months. Twelve cases were identified, with the following characteristics: meangestational age, 7.7 weeks; mean serum β-human chorionic gonadotropin level, 7,786 mIU/mL; and greater diameterof the mass, 15–69 mm. Treatment was successful in all cases. Salpingectomy was performed in 10 patients (83.3%)and salpingostomy, in 1 patient. The remaining patient only received peritoneal lavage, as the evidence of ectopicabortion with only a slightly dilated uterine tube was found during surgery. The mean surgical time was 42.5 minutes. In the analyzed cases, posterior colpotomy was found to be a feasible alternative method for the surgical treatmentof tubal ectopic pregnancy in hemodynamically stable women.
참고문헌 (13)
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