Document Detail


Long-term outcome after laparoscopic treatment of heterotopic pregnancy: 19 cases.
MedLine Citation:
PMID:  20417422     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To determine the long-term outcome of intrauterine pregnancies after treatment of heterotopic pregnancies. DESIGN: Retrospective cohort study (Canadian Task Force classification II-3). SETTING: Tertiary center university hospital. PATIENTS: All women who underwent surgery because of heterotopic pregnancy over 12 years. INTERVENTION: Laparoscopic surgery. MEASUREMENTS AND MAIN RESULTS: Infant development and future pregnancy. Extrauterine pregnancies were located in the tube (n = 13), uterine cornua (n = 3), ovary (n = 1), and tubal stump (n = 2). During laparoscopy, a ruptured tube was found in 6 tubal pregnancies (46%), blood transfusion was needed in 7 heterotopic pregnancies (37%), and salpingectomy was performed in 12 women with tubal pregnancies (91.7%). The pregnancy outcome consisted of 13 babies (term and preterm) taken home and 5 miscarriages. Long-term follow up demonstrated that 10 of 13 infants (76.9%) exhibited normal development. Three infants, all from 1 triplet pregnancy, exhibited borderline to normal development. Ten of 15 women achieved additional pregnancies, with 10 deliveries and only 1 extrauterine pregnancy in the tubal stump. CONCLUSIONS: Women with a heterotopic pregnancy are at high risk for late diagnosis and at risk for hypovolemic shock at diagnosis, and may require blood transfusion. The outcome of intrauterine pregnancy in association with heterotopic pregnancy requiring surgical intervention is good, and most complications were associated with multifetal pregnancy and preterm delivery.
Authors:
David Soriano; Danielle Vicus; Ron Schonman; Roy Mashiach; David Shashar-Levkovitz; Eyal Schiff; Daniel S Seidman; Mordechai Goldenberg
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  17     ISSN:  1553-4650     ISO Abbreviation:  J Minim Invasive Gynecol     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-04-26     Completed Date:  2010-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  321-4     Citation Subset:  IM    
Copyright Information:
Copyright 2010 AAGL. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, Sheba Medical Center, Tel-Hashomer, Israel and Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel. Soriano@post.tau.ac.il
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MeSH Terms
Descriptor/Qualifier:
Abortion, Spontaneous
Adult
Cohort Studies
Female
Humans
Laparoscopy*
Ovary
Pregnancy
Pregnancy Outcome
Pregnancy, Ectopic / diagnosis,  surgery*
Pregnancy, Tubal / diagnosis,  surgery*
Retrospective Studies
Sterilization, Tubal
Treatment Outcome

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


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