Laparoscopic tube-preserving surgical procedures for ectopic tubal pregnancy
Obstetrics & Gynecology Science
; : 512-518, 2016.
Article
em En
| WPRIM
| ID: wpr-100499
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE: To present our experience with laparoscopic tube-preserving surgery for ectopic tubal pregnancy and evaluate its feasibility and efficacy. METHODS: This was a prospective study of 57 consecutive patients with ectopic tubal pregnancies undergoing laparoscopic tube-preserving procedures including salpingotomy, salpingostomy, segmental resection and reanastomosis, and fimbrial milking. The outcome measures were treatment success rates and homolateral patency rates. RESULTS: Of the 57 surgical procedures, 55 (96.4%) were performed successfully without any additional intervention. The number of patients receiving salpingotomy, salpingostomy, segmental resection and reanastomosis, and fimbrial milking were 24 (42.1%), 25 (43.9%), 4 (7.0%), and 2 (3.5%), respectively. Two case was switched to salpingectomy because excessive bipolar coagulation was required to obtain hemostasis at the tubal bleeding bed. Over a mean β-human chorionic gonadotropin resolution time of 18.3±5.9 days, no persistent trophoblast or postoperative complications occurred. A tubal patency test using hysterosalpingography was performed in 15 cases at 3 months postoperatively. Among these, the homolateral tubal patency rate was 75% (11 of 15) and the contralateral patency rate was 80% (12 of 15). CONCLUSION: Tube-preserving surgery is a feasible and safe treatment option for ectopic tubal pregnancy. However, considering that the optimal goal of tube-preserving surgical procedures is not the treatment success, some caution is warranted in interpreting results of this study.
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Texto completo:
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Índice:
WPRIM
Assunto principal:
Complicações Pós-Operatórias
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Gravidez Ectópica
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Gravidez Tubária
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Trofoblastos
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Salpingostomia
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Histerossalpingografia
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Estudos Prospectivos
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Avaliação de Resultados em Cuidados de Saúde
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Leite
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Salpingectomia
Tipo de estudo:
Observational_studies
Limite:
Female
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Humans
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Pregnancy
Idioma:
En
Revista:
Obstetrics & Gynecology Science
Ano de publicação:
2016
Tipo de documento:
Article