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[Conservative, laparoscopic and medical treatment of ectopic pregnancy]. / Tratamiento conservador, laparoscópico y médico del embarazo ectópico.
Molina Sosa, Arturo.
Afiliação
  • Molina Sosa A; armolina@infosel.net.mx
Ginecol Obstet Mex ; 75(9): 539-48, 2007 Sep.
Article em Es | MEDLINE | ID: mdl-18293629
BACKGROUND: Ectopic pregnancy is that in which implantation of fertilized zygote occurs out of the uterine cavity mucosa (fallopian tube ampulla, isthmus, interstice, cervix, ovary or abdomen). Patients with ectopic pregnancy history have bad forecast on subsequent fertility. OBJECTIVE: To describe conservative, laparoscopic and medical treatment to ectopic pregnancy (estimation of results). MATERIAL AND METHODS: Revision of 65 files of ectopic pregnancy with salpingocentesis, lineal salpingostomy and methotrexate terapy. RESULTS: Salpingocentesis and lineal salpingostomy prove tube permeability in 81.4 to 90% of cases. The number of intrauterine pregnancies has a 60 to 67% of variation. Presently we take care four intrauterine pregnancies, two with each surgical procedure. CONCLUSION: It is important to asses prophylactic administration of methotrexate to avoid ectopic pregnancy. This drug was prescribed in six successful cases with a unique dosage of 25 mg. Determination of HCG and gynecologic ultrasonography facilitate ectopic pregnancy diagnosis.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Gravidez Ectópica / Laparoscopia Tipo de estudo: Diagnostic_studies Limite: Female / Humans / Pregnancy Idioma: Es Revista: Ginecol Obstet Mex Ano de publicação: 2007 Tipo de documento: Article País de publicação: México
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Gravidez Ectópica / Laparoscopia Tipo de estudo: Diagnostic_studies Limite: Female / Humans / Pregnancy Idioma: Es Revista: Ginecol Obstet Mex Ano de publicação: 2007 Tipo de documento: Article País de publicação: México