Ectopic pregnancy after hysterectomy: a review and insight into etiology and prevention  

Oleh:

Fylstra, Donald L.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 94 no. 02 (Jul. 2010), page 431-435.
Topik: Ectopic pregnancy; ectopic pregnancy after hysterectomy; early presentation; late presentation

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2010.04 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective To review all reported cases of ectopic pregnancy after hysterectomy. Design Medline literature search 1966 to Jan 2009. Search terms included “ectopic pregnancy,” “post hysterectomy ectopic pregnancy,” “pregnancy after hysterectomy.” The bibliography of all retrieved articles was searched for additional sources of data. Setting Academic medical center. Patient(s) Women with ectopic pregnancies following hysterectomy. Intervention(s) Surgical removal. Main Outcome Measure(s) To review all reported cases of ectopic pregnancy after hysterectomy. Result(s) Fifty-six cases of ectopic pregnancies after hysterectomy have been reported. Thirty-one such cases were diagnosed and treated in the immediate period after hysterectomy, “early presentation,” and were pregnancies presumed to have been present at the time the hysterectomy was performed. Twenty-five cases of “late presentation” ectopic pregnancy after hysterectomy have been reported, certainly developing as a result of a communication between the vagina and the peritoneal cavity. Conclusion(s) Every woman with intact ovaries, despite previous hysterectomy, who presents with abdominal pain, should be screened for pregnancy. “Early presentation” ectopic pregnancies can be prevented with adequate contraception before hysterectomy or by avoiding operating in the periovulatory or luteal phase of the menstrual cycle. “Late presentation” ectopic pregnancies after hysterectomy are likely dependent on the type of hysterectomy performed and the presence or a residual cervix.

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