Total Hysteroscopic Treatment of Cervical Pregnancy: The 2-step Technique

Mangino, Francesco Paolo; Romano, Federico; Lorenzo, Giovanni Di; Buonomo, F.; Santo, Davide De; Scrimin, Federica; Ricci, Giuseppe

doi:10.1016/j.jmig.2019.01.009

Cited by 16 publications

(19 citation statements)

References 5 publications

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Section: Resultsunclassified

“…A partir de la búsqueda en la literatura se encontraron 130 títulos, de estos se identificaron 22 estudios que correspondieron a series y reportes de caso que cumplieron con los criterios de inclusión: 3 fueron descritos como estudios prospectivos (18)(19)(20), 6 estudios retrospectivos (5, 14, 21-24), 3 series de casos (25)(26)(27), y 10 reportes de caso (7,16,(28)(29)(30)(31)(32)(33)(34)(35). Un total de 15 estudios evaluaron el tratamiento médico (5, 7, 14, 18, 21-23, 25, 28-33, 35) y 9 el tratamiento quirúrgico (7,16,19,20,24,26,27,34,35). Los textos seleccionados fueron publicados por grupos de varios países como Taiwán (20), India (7,35), Grecia (18), Canadá (5,14,31), Turquía (22), Italia (16,19), Chipre (26), Egipto (26), Estados Unidos (23,25,34), China (24), Corea del Sur (27), España (33), México (29,), Venezuela (30), Cuba (32) y Colombia (28).…”

Section: Resultsunclassified

“…Un total de 15 estudios evaluaron el tratamiento médico (5, 7, 14, 18, 21-23, 25, 28-33, 35) y 9 el tratamiento quirúrgico (7,16,19,20,24,26,27,34,35). Los textos seleccionados fueron publicados por grupos de varios países como Taiwán (20), India (7,35), Grecia (18), Canadá (5,14,31), Turquía (22), Italia (16,19), Chipre (26), Egipto (26), Estados Unidos (23,25,34), China (24), Corea del Sur (27), España (33), México (29,), Venezuela (30), Cuba (32) y Colombia (28).…”

Section: Resultsunclassified

“…Histeroscopia: manguino et al (16) reportaron un caso de manejo en una paciente de 40 años con antecedentes de enfermedad pélvica inflamatoria y concepción lograda por fertilización in vitro y transferencia embrionaria, quien presenta embarazo ectópico cervical con 6 semanas de amenorrea. La paciente recibió una dosis intrasacular amniótica guiada por ultrasonido de MTX y dosis sistémicas con mala respuesta y aumento de b-HCG de 1100 mUI/ml a 4274 mUI/ml, por lo cual se decidió resección histeroscópica sin ninguna otra intervención, con resultado exitoso y sin complicaciones.…”

Section: Tratamiento Quirúrgico Conservadorunclassified

“…Murji, citando a Hung, describe los criterios para el uso de múltiples dosis de MTX: un nivel de b-HCG > 10.000 mUI/ml, edad gestacional mayor de 9 semanas, presencia de actividad cardiaca embrionaria o fetal y una longitud cefalocaudal mayor de 10 mm en la ecografía transvaginal (14). En presencia de actividad cardiaca embrionaria o fetal se recomienda el uso de inyecciones intrasaculares de cloruro de potasio (KCL) o MTX (15)(16)(17).…”

Section: Introductionunclassified

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Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: reporte de caso y revisión de la literatura

Bolaños-Bravo

Ricaurte-Fajardo

Zarama-Márquez

et al. 2019

Rev. Colomb. Obstet. Ginecol.

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RESUMENObjetivos: reportar el caso de un embarazo cervical (EC) que recibió manejo conservador exitoso y realizar una revisión de la literatura sobre el tratamiento médico y quirúrgico conservador. Materiales y métodos: se presenta el caso de una paciente con embarazo cervical, quien recibió manejo farmacológico con metotrexate (MTX) y posterior legrado con evolución clínica satisfactoria. Se realizó una búsqueda de artículos en Medline vía PubMed, LILACS, SciElo y Google académico con los términos: "cervical ectopic pregnancy", "conservative treatment", "curettage", "methotrexate", ABSTRACT Objectives: To report a case of cervical pregnancy (CP) treated successfully with a conservative approach, and to conduct a review of the literature regarding conservative medical and surgical treatment. Materials and Methods: Patient with cervical pregnancy treated pharmacologically with methotrexate (MTX) followed by dilation and curettage, with a satisfactory clinical course. A search of articles was conducted in Medline via PubMed, LILACS, SciElo and Google Scholar using the terms "cervical ectopic pregnancy," "conservative treatment," "curettage,» "methotrexate," "uterine artery embolization," "hysteroscopy." Reports and case series were selected of patients with cervical pregnancy diagnosed on ultrasound at any gestational age, subjected to conservative medical or surgical treatment. Results: A total of 22 studies were included; 95 patients with CP treated with MTX were identified, 93 of them successfully treated. The most frequent complication was bleeding in 12%; 26% required complementary surgical treatment. Increasingly, uterine artery embolization (UAE) is carried out preventatively (7 cases) before curettage or treatment with MTX. The hysteroscopy is another recent alternative (20 cases). Abdominal hysterectomy was required in two cases, one of which was a cervico-isthmic pregnancy. Conclusions:Treatment with MTX continues to be the most frequent strategy. Dilation and curettage with endocervical plugging may be an option to consider in the emergency management of EP in primary care institutions. In institutions equipped with high complexity technology, uterine artery embolization before the surgical procedure and histeroscopy are options to be considered. Considering that early diagnosis of EP is now possible, multi-center studies comparing different management options are needed for better assessment of their safety and effectiveness.

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Section: Resultsunclassified

Section: Tratamiento Quirúrgico Conservadorunclassified

Section: Introductionunclassified

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Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: reporte de caso y revisión de la literatura

Bolaños-Bravo

Ricaurte-Fajardo

Zarama-Márquez

et al. 2019

Rev. Colomb. Obstet. Ginecol.

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One-step total hysteroscopic removal of cervical ectopic pregnancy

Mohr–Sasson

Hui

Bhalwal

2023

American Journal of Obstetrics and Gynecology

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Hysteroscopic Treatment of Cervical Pregnancy: A Scoping Review of the Literature

Lorenzo

Mirenda

Springer

et al. 2022

Journal of Minimally Invasive Gynecology

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Total Hysteroscopic Treatment of Cervical Pregnancy: The 2-step Technique

Cited by 16 publications

References 5 publications

Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: reporte de caso y revisión de la literatura

Manejo conservador en una paciente con embarazo ectópico cervical en Nariño, Colombia: reporte de caso y revisión de la literatura

One-step total hysteroscopic removal of cervical ectopic pregnancy

Hysteroscopic Treatment of Cervical Pregnancy: A Scoping Review of the Literature

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