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

Obstetrics & Gynecology Science

Larissa Gonçalves Braz Santos¹  Alysson Zanatta¹  Lizandra Moura Paravidine Sasaki¹  Rafaella Ferreira de Araújo Litvin¹  Tábata Longo da Silva Machado¹  Alberto Moreno Zaconeta¹  Júlio Elito Júnior²  Edward Araujo Júnior² 

[1] Department of Obstetrics and Gynecology, University of Brasília (UnB), Brasília-DF, .Brazil;Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo-SP, .Brazil;

关键词: tubal pregnancy;    operative surgical procedures;    colpotomy;   

DOI  :  10.5468/ogs.2019.62.6.487

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown