Surgical treatment of tubal ectopic pregnancy through posterior colpotomy: experience from a Brazilian university hospital

The objective of this study was to evaluate the feasibility of posterior colpotomy for the surgical treatment of tubal ectopic pregnancy in hemodynamically stable women. We performed a retrospective analysis of medical records obtained over a period of 18 months. Twelve cases were identified, with t...

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Bibliographic Details
Published in:Obstetrics & gynecology science 2019-11, Vol.62 (6), p.487
Main Authors: Tabata Longo Da Silva Machado, Alysson Zanatta, Larissa Goncalves Braz Santos, Rafaella Ferreira De Araujo Litvin, Lizandra Moura Paravidine Sasaki, Julio Elito Junior, Edward Araujo Junior, Alberto Moreno Zaconeta
Format: Article
Language:Korean
Subjects:
Colpotomy
Operative surgical procedures
Tubal pregnancy
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Summary:The objective of this study was to evaluate the feasibility of posterior colpotomy for the surgical treatment of tubal ectopic pregnancy in hemodynamically stable women. We performed a retrospective analysis of medical records obtained over a period of 18 months. Twelve cases were identified, with the following characteristics: mean gestational age, 7.7 weeks; mean serum β-human chorionic gonadotropin level, 7,786 mIU/mL; and greater diameter of the mass, 15-69 mm. Treatment was successful in all cases. Salpingectomy was performed in 10 patients (83.3%) and salpingostomy, in 1 patient. The remaining patient only received peritoneal lavage, as the evidence of ectopic abortion with only a slightly dilated uterine tube was found during surgery. The mean surgical time was 42.5 minutes. In the analyzed cases, posterior colpotomy was found to be a feasible alternative method for the surgical treatment of tubal ectopic pregnancy in hemodynamically stable women.
ISSN:2287-8572