| Assessment of transvaginal hysterotomy combined with medication for cesarean scar ectopic pregnancy. | |
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MedLine Citation:
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PMID: 22935305 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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The objective of this retrospective study was to explore a novel surgical technique, transvaginal hysterotomy combined with methotrexate injection, for treatment of cesarean scar ectopic pregnancy in 12 patients. All patients underwent the operation. Mean (SD; 95% CI) operative time was 21.6 (7.3; 17.0-26.2) minutes, and intraoperative blood loss was 90.8 (59.6; 52.9-128.7) mL. Postoperative ultrasonography confirmed removal of the pregnancy sac. The length of hospital stay was 7.4 (3.7; 5.0-9.8) days. The first normal postoperative menstrual period was at 28.3 (5.6; 24.7-31.9) days after surgery. The serum β-human chorionic gonadotropin concentration returned to normal at 15.8 (6.3; 11.8-19.8) days. We conclude that surgical removal of the ectopic sac via transvaginal hysterotomy combined with methotrexate injection during the operation is a potentially good new approach to treatment of cesarean scar ectopic pregnancy. The efficacy and safety of the technique need further confirmation in future studies. |
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Authors:
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Zhonghai Wang; Aiwen Le; Lili Shan; Tianhui Xiao; Rong Zhuo; Huijuan Xiong; Yi Shen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of minimally invasive gynecology Volume: 19 ISSN: 1553-4669 ISO Abbreviation: J Minim Invasive Gynecol Publication Date: 2012 Sep |
Date Detail:
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Created Date: 2012-08-31 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101235322 Medline TA: J Minim Invasive Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 639-42 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 AAGL. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, Affiliated Shenzhen Nanshan People's Hospital of Guangdong Medical University, Shenzhen, China. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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