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KMID : 1143220190620060487
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Obstetrics & Gynecology Science
2019 Volume.62 No. 6 p.487 ~ p.490
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Surgical treatment of tubal ectopic pregnancy through posterior colpotomy: experience from a Brazilian university hospital
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da Silva Machado Tabata Longo
Zanatta Alysson
Santos Larissa Goncalves Braz
de Araujo Litvin Rafaella Ferreira
Sasaki Lizandra Moura Paravidine
Elito Julio Junior
Araujo Edward Junior
Zaconeta Alberto Moreno
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Abstract
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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.
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KEYWORD
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Tubal pregnancy, Operative surgical procedures, Colpotomy
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