Document Detail


Hysteroscopic management of cervical pregnancy with intrauterine irrigation with H2O2.
MedLine Citation:
PMID:  18657482     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of our study was to introduce a safe and effective method for the treatment of cervical pregnancy. This was a case series and took place at the minimal invasive surgery clinic at Soonchunhyang University Bucheon Hospital, Bucheon, Korea. From April 2005 through October 2007, a total of 10 patients with cervical pregnancy underwent hysteroscopic surgery. An 18 F foley catheter was inserted through the cervical canal after dilation, and the uterine cavity was irrigated with 3.5% H2O2 300 mL for prevention of unrelenting bleeding. Hysteroscopic removal of cervical gestation under ultrasonographic guidance was performed uneventfully. All patients had an unremarkable postoperative course. Serum beta-human chorionic gonadotropin levels were monitored after surgery and exhibited optimal decrease. All cases had histologic confirmation of products of conception removed from the cervix. The estimated blood loss was less than 50 mL. All patients were discharged after the first or second postoperative day. Hysteroscopic removal of cervical pregnancy with H2O2 is very useful and safe and preserves fertility.
Authors:
Jeong S Kim; Kye H Nam; Tae H Kim; Hae H Lee; Kwon H Lee
Publication Detail:
Type:  Journal Article     Date:  2008-07-26
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  15     ISSN:  1553-4650     ISO Abbreviation:  -     Publication Date:    2008 Sep-Oct
Date Detail:
Created Date:  2008-08-25     Completed Date:  2009-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  627-30     Citation Subset:  IM    
Affiliation:
Bucheon Hospital, Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, South Korea. jskim@schbc.ac.kr
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MeSH Terms
Descriptor/Qualifier:
Abortion, Therapeutic / methods*
Adult
Amnion / blood supply
Cervix Uteri / surgery*
Cohort Studies
Female
Humans
Hydrogen Peroxide / administration & dosage*
Hysteroscopy / methods
Irrigation
Oxidants / administration & dosage*
Postoperative Hemorrhage / prevention & control
Pregnancy
Pregnancy, Ectopic / surgery*,  ultrasonography
Chemical
Reg. No./Substance:
0/Oxidants; 7722-84-1/Hydrogen Peroxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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