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Federación Mexicana de Ginecología y Obstetricia, A.C.

2007, Number 09

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Ginecol Obstet Mex 2007; 75 (09)

Conservative, laparoscopic and medical treatment of ectopic pregnancy

Molina SA

Language: Spanish
References: 31
Page: 539-548
PDF size: 298.15 Kb.


ABSTRACT

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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