Conservative management of nontubal ectopic pregnancies  

Oleh:

Verma, Usha ; English, Diana ; Brookfield, Kathleen

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 96 no. 06 (Dec. 2011), page 1391-1395.
Topik: Cervical ectopic pregnancy; cornual ectopic pregnancy; cesarean section scar pregnancy; conservative management; potassium chloride; methotrexate

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective To report successful conservative management of nontubal ectopic pregnancies. Design Retrospective case series. Setting University tertiary-care hospital. Patient(s) Sixty-four women with diagnosis of nontubal ectopic pregnancies (cervical, cornual, and cesarean section scar) were treated with minimally invasive procedures. Intervention(s) Systemic methotrexate alone or combined with ultrasound-guided fetal intracardiac injection of potassium chloride. Main Outcome Measure(s) Success of the treatment, preservation of the uterus, rate of serious complications, and the need for additional interventions. Result(s) Conservative treatment was successful in 63 patients with nontubal ectopic pregnancies. One patient had rupture of cornual pregnancy and underwent cornual resection. None of the patients in this case series required hysterectomy. This series included four patients with heterotopic pregnancies, three of whom continued intrauterine pregnancy to term gestation after conservative treatment. Seven patients experienced minimal morbidity that was treated with additional nonsurgical interventions. Conclusion(s) Conservative management and fertility preservation is feasible in most nontubal ectopic pregnancies.

Opini Anda

Klik untuk menuliskan opini Anda tentang koleksi ini!

Kembali