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KMID : 0358420080510040472
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Korean Journal of Obstetrics and Gynecology
2008 Volume.51 No. 4 p.472 ~ p.475
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A case of treatment of peritoneal trophoblastic tissue implants after Laparoscopic salpingectomy
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Mun Seong-Taek
Kim Yun-Sook
Jeon Seob
Choi Seung-Do
Sunwoo Jae-Gun
Bae Dong-Han
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Abstract
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The incidence of ectopic pregnancy has increased considerably a decade. And treatment has changed from salpingectomy by laparotomy to conservative laparoscopic surgery or medical treatment. This procedure has many advantages, but there are also disadvantages with the conservative approach and several studies have reported a higher incidence of residual trophoblastic tissue remaining in the tube after treatment. Postoperative follow up of human chorionic gonadotropin (hCG) levels and ultrasonography are needed. This report describes a rare case of persistent trophoblastic implants to the ovary and peritoneum 40 days after laparoscopic salpingectomy. Treatment consisted of laparoscopic excision with biopsy forceps and bipolar, followed by medical treatments. So we report with a brief review of literatures
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KEYWORD
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Persistent trophoblastic implants, Tubal pregnancy, Laparoscopy
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