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Hysteroscopically assisted laparoscopic salpingostomy in the treatment of tubal pregnancy


Authors: R. Zaremba 1;  M. Mára 2;  I. Razak 1;  V. Vlášek 1
Authors‘ workplace: Gynekologicko-porodnické oddělení Nemocnice Strakonice, primář MUDr. V. Vlášek 1;  Gynekologicko-porodnická klinika 1. LF UK a VFN, Praha, přednosta prof. MUDr. A. Martan, DrSc. 2
Published in: Ceska Gynekol 2018; 83(1): 50-52

Overview

Objective:
To present a case of conservative – Fallopian tube preserving – surgical therapy of tubal pregnancy.

Design:
Case report.

Setting:
Department of Obstetrics and Gynecology, Strakonice Hospital.

Case description:
Due to the desire to preserve the Fallopian tube in a hemodynamically stable primigravida, we decided for laparoscopic salpingostomy using hysteroscopy for assisted removal of pregnancy tissue from the oviduct.

Conclusion:
In well-selected cases, this treatment is an effective method of choice and can be performed even under conditions of a smaller hospital performing a common spectrum of laparoscopic surgery.

Keywords:
tubal ectopic pregnancy, conservative treatment, salpingostomy, hysteroscopy


Sources

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3. Bruhat, MA., Pouly, JL. Endoscopic treatment of ectopic pregnancies. Curr Opin Obstet Gynecol, 1993, 5(2), p. 260–266.

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8. Cheng, X., Tian, X., Yan, Z., et al. Comparison of the fertility outcome of salpingotomy and salpingectomy in women with tubal pregnancy: a systematic review and meta-analysis. PLoS One, 2016, 11, p. e0152343.

9. Jamard, A., Turck, M., Pham, AD., et al. Fertility and risk of recurrence after surgical treatment of an ectopic pregnancy: Salpingostomy versus salpingectomy. J Gynecol Obstet Biol Reprod, 2016, 45(2), p. 129–138.

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11. Mol, F., van Mello, NM., Strandell, A., et al. Salpingotomy versus salpingectomy in women with tubal pregnancy (European surgery in ectopic pregnancy study): An openlabel, multicenter, randomized controlled trial. Lancet, 2014, 383, p. 1483–1489.

12. Tulandi, T. Ectopic pregnancy: Choosing a treatment and methotrexate therapy [online]. 2017 Apr 10 2016 [cit. 2017-08-10]. Dostupné z: https://www.uptodate.com/contents/ectopic-pregnancy-choosing-a-treatment-and-methotrexate-therapy.

13. Tulandi, T. Ectopic pregnancy: Incidence, risk factors, and patology [online]. 2016 [cit. 2017-08-10]. Dostupné z: https://www.uptodate.com/contents/ectopic-pregnancy-incidence-risk-factors-and-pathology.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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