[Conservative, laparoscopic and medical treatment of ectopic pregnancy]. / Tratamiento conservador, laparoscópico y médico del embarazo ectópico.
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.
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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