Laparoscopic management of ectopic pregnancies in unusual locations

Wang, Yeou-Lih; Weng, Shih-Shien; Huang, Wen‐Chen; Su, Tsung-Hsien

doi:10.1016/j.tjog.2014.01.004

Cited by 24 publications

(10 citation statements)

References 25 publications

(20 reference statements)

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“…was medium. Almost one-fourth of the women required additional treatment, and the complication rate was 2.3% (one hysterectomy).Treatment Modality 11: LaparoscopySeven case series of 69 women described laparoscopy as firstline treatment(31,39,47,52,53,62,71). Two studies were assessed as high quality (n ¼ 33) and the remaining five as medium (n ¼ 36).…”

mentioning

confidence: 99%

Cesarean scar pregnancy: a systematic review of treatment studies

Petersen

Hoffmann

Larsen

et al. 2016

Fertility and Sterility

335

336

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mentioning

confidence: 99%

Cesarean scar pregnancy: a systematic review of treatment studies

Petersen

Hoffmann

Larsen

et al. 2016

Fertility and Sterility

335

336

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“…Combined hysteroscopic and laparoscopic excision of CSSP was reported in treatment of 113 cases with a reasonably low complication rate of 18.4%, compared with other methods [18][19][20][21][22].…”

Section: Discussionmentioning

confidence: 99%

Cesarean section scar pregnancy

Naser¹,

Abdelazim²,

Abu-Faza³

2018

jogi

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Introduction: Cesarean section scar pregnancy (CSSP) occurs due to implantation of the gestational sac over the previous cesarean section or hysterotomy scars. Case description: A 40-year-old woman referred to our hospital with a missed period for 5 weeks +3 days, mild vaginal spotting and β-hCG 5770 mIU/ml as a case of ectopic pregnancy. The repeated β-hCG was 8797 mIU/ml and the transvaginal ultrasound (TVS) showed the gestational sac located in the lower anterior quadrant of the uterus behind the urinary bladder (only a thin layer of myometrium separating it from the bladder), close to the internal cervical os and the site of the previous scars. The case was diagnosed as CSSP and managed according to the hospital protocol by systemic multi-dose methotrexate (MTX) with follow-up using β-hCG, TVS and complete blood count (CBC). When the β-hCG result was found to be 60.66 mIU/ml, and the repeated weekly TVS showed a progressive decrease in the size of the gestational sac, the studied woman was discharged from the hospital for follow-up in the outpatient department (OPD). Conclusions: There is no single best treatment to terminate the CSSP, and the procedure with the fewest complications should be selected. Several authors support systemic multi-dose MTX treatment for CSSP with follow-up using TVS, β-hCG and CBC.

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“…In these low-resource settings, patients’ delay in seeking treatment and doing serial ßhCG levels would cause further delays and can lead to catastrophic results. These tests and diagnostic laparoscopy 7 are not readily available.…”

Section: Discussionmentioning

confidence: 99%

Challenges in the surgical management of ectopic pregnancy in a low-resource setting: Mpilo Central Hospital, Bulawayo, Zimbabwe

Ngwenya

2017

Trop Doct

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Background Ectopic pregnancy contributes to maternal morbidity and mortality, especially in low-resourced countries with limited facilities for early diagnosis and treatment. It is a very challenging condition to diagnose. Patients may collapse and die while undergoing investigation. Aims To assess surgical treatment given to patients presenting at Mpilo Central Hospital, the challenges that are faced and the outcomes; and also to document how women survive this dangerous condition in a setting challenged by low resources. Results All the patients had prompt life-saving surgery within 48 h of admission despite the challenges faced. The survival rate was 100% during the period of the study. Conclusion It is possible to prevent maternal mortality in low-resource countries by maintaining basic clinical and surgical skills.

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Laparoscopic management of ectopic pregnancies in unusual locations

Abstract: When performed by a well-trained gynecologist, laparoscopy appears to be a reasonable alternative for the treatment of unruptured CSP or CP.

Cited by 24 publications

References 25 publications

Cesarean scar pregnancy: a systematic review of treatment studies

Cesarean scar pregnancy: a systematic review of treatment studies

Cesarean section scar pregnancy

Challenges in the surgical management of ectopic pregnancy in a low-resource setting: Mpilo Central Hospital, Bulawayo, Zimbabwe

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