Document Detail


Isthmic ectopic pregnancy: segmental resection as the treatment of choice.
MedLine Citation:
PMID:  4029418     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We reviewed the records of 12 patients who were admitted to Yale-New Haven Hospital between February 1979 and January 1983 with the diagnosis of isthmic ectopic pregnancy. All pregnancies were unruptured. Two patients were managed by salpingectomy. Ten patients were treated conservatively. Of the women managed by conservative surgery, four had a linear salpingostomy and none of the four conceived. Three of these four patients demonstrated occlusion of the operated tube by hysterosalpingogram (HSG). The other six patients were managed by segmental resection and delayed microsurgical anastomosis. Four of the six patients conceived. Three pregnancies were intrauterine and one was an ectopic pregnancy in the conserved tube. Three patients conceived before an HSG could be done. The remaining three patients had HSGs 3 to 4 months after anastomosis, and the operated tube was patent in all three. From these data and a review of the literature, we conclude that segmental resection with either immediate or delayed anastomosis appears preferable to linear salpingostomy for the conservative management of unruptured isthmic ectopic pregnancy.
Authors:
A H DeCherney; S P Boyers
Related Documents :
11679598 - Pregnancy after total hip arthroplasty.
15040518 - Heterotopic pregnancy in a large inner-city hospital: a report of two cases.
3592338 - Rupture of cornual ectopic pregnancy after dilatation and curretage.
8139528 - Surveillance for ectopic pregnancy--united states, 1970-1989.
8659228 - The use of epididymal fine-needle aspiration for the diagnosis of male genital tract ob...
7065778 - Diaphragmatic paralysis managed by diaphragmatic replacement.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Fertility and sterility     Volume:  44     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  1985 Sep 
Date Detail:
Created Date:  1985-10-11     Completed Date:  1985-10-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  307-12     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Animals
Fallopian Tubes / anatomy & histology,  surgery*
Female
Humans
Hysterosalpingography
Microsurgery
Pregnancy
Pregnancy, Tubal / surgery*
Rabbits

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


Previous Document:  Four-year follow-up of insertion of quinacrine hydrochloride pellets as a means of nonsurgical femal...
Next Document:  Ectopic pregnancy and antibodies to Chlamydia trachomatis.