Obstet Gynecol Sci.  2019 Nov;62(6):487-490. 10.5468/ogs.2019.62.6.487.

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

• Machado TL
• Zanatta A
• Santos LG
• Litvin RF
• Sasaki LM
• Elito Júnior J
• Araujo Júnior E
• Zaconeta A

• KMID: 2462130
• DOI: http://doi.org/10.5468/ogs.2019.62.6.487

Abstract

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.

Keyword

Tubal pregnancy; Operative surgical procedures; Colpotomy

MeSH Terms

Chorionic Gonadotropin
Colpotomy*
Fallopian Tubes
Female
Gestational Age
Humans
Medical Records
Methods
Operative Time
Peritoneal Lavage
Pregnancy
Pregnancy, Ectopic*
Pregnancy, Tubal
Retrospective Studies
Salpingectomy
Salpingostomy
Surgical Procedures, Operative
Chorionic Gonadotropin

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