Surgical treatment of tubal ectopic pregnancy through posterior colpotomy: experience from a Brazilian university hospital
Obstetrics & Gynecology Science
;
: 487-490, 2019.
Article
in English
| WPRIM
| ID: wpr-760667
ABSTRACT
The objective of this study was to evaluate the feasibility of posterior colpotomy for the surgical treatment of tubal ectopic pregnancy in hemodynamically stable women. We performed a retrospective analysis of medical records obtained over a period of 18 months. Twelve cases were identified, with the following characteristics mean gestational age, 7.7 weeks; mean serum β-human chorionic gonadotropin level, 7,786 mIU/mL; and greater diameter of 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 ectopic abortion 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 treatment of tubal ectopic pregnancy in hemodynamically stable women.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pregnancy, Ectopic
/
Pregnancy, Tubal
/
Surgical Procedures, Operative
/
Peritoneal Lavage
/
Salpingostomy
/
Medical Records
/
Retrospective Studies
/
Gestational Age
/
Colpotomy
/
Fallopian Tubes
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Pregnancy
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Obstetrics & Gynecology Science
Year:
2019
Type:
Article
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