An alternative treatment option in tubal ectopic pregnancies with fetal heartbeat: aspiration of the embryo followed by single-dose methotrexate administration  

Oleh:

Cepni, Ismail ; Guralp, Onur ; Ocal, Pelin ; Salahov, Ramin

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 96 no. 01 (Jul. 2011), page 79-83.
Topik: Fetus aspiration; living; methotrexate; ossification; tubal ectopic pregnancy; unruptured

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.04 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective To present 13 cases of unruptured tubal ectopic pregnancies successfully treated with ultrasound-guided aspiration and local and systemic methotrexate (MTX) administration. Design Case series. Setting University hospital. Patient(s) Thirteen women with an unruptured tubal ectopic pregnancy. Intervention(s) Transvaginal ultrasound-guided aspiration of the tubal ectopic pregnancy followed by MTX administration into the gestational sac (half of the calculated total dose of 25 mg/m2) and intramuscular injection (the remaining half of the calculated total dose of 25 mg/m2). Main Outcome Measure(s) Recovery of the patients, successful conservative treatment of the tubal ectopic pregnancies with preservation of the fallopian tubes. Result(s) Twelve (92%) of 13 women were successfully aborted, without need for salpingectomy or salpingostomy. Conclusion(s) Transvaginal ultrasound-guided aspiration of fetus followed by local and systemic methotrexate administration can be safely used to treat unruptured tubal ectopic pregnancies.

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