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KMID : 0378119860130010389
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Chungnam Medical Journal
1986 Volume.13 No. 1 p.389 ~ p.395
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Ectopic Pregnancy Following Laparoscopic Rubal Sterilization
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권선호/Kweon, Seon-Ho
김성민/노흥태/Kim, Seong-Min/Noh, Heung-Tae
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Abstract
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This study is a clinico-statistical analysis of 19 cases of ectopic pregnancy which developed after laparoscopic tubal sterilization during the period from January 1983 to December 1985 in Chungnam National University Hospital.
The results were as follows :
1. Among the 140 cases of ectopic pregnancy during the period, 19cases(13.6%) were disclosed to occur after laparoscopic tubal sterilization.
2. The most frequent age group was in 26 to 30 rears and the mean age was 31.2 years.
3. The average gravidity and number of living children were 4.1 and 2.6, respectively.
4. All patients were easily diagnosed preoperatively by culdocentesis, pregnancy test, diagnostic laparoscopy and sonography.
5. About 74% of the total patients presented themselves within 3 years after tubal sterilization, with shortest interval being 4 months, the longest 12 years, and mean 2 year 5 months.
6. The methods of sterilization was mostly electrocauterization (73.9%) and the rest was silastic band application (26.3%).
7. The average duration from last menstrual period of patients to the diagnosis of ectopic pregnancy was 6.2 weeks.
8. The majority of the patients presented with lower abdominal pain, nausea & vomiting, and bearing down sensation.
9. The most implantation site of ectopic pregnancy was fallopian tube (94.8%). 63.2% of the ectopic gestation was located in the distal of fimbrial segment ana 31.6f in the proximal segment.
10. The average amount of intraperitoneal blood loss was 1190ml.
11. 89.6% of total cases was treated by unilateral salpingectomy or unilateral salpingo-oophorectomy.
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