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Is Operative Laparoscopy Contraindicated in Women with Ectopic Pregnancy and Hypovolemic Shock?
MedLine Citation:
PMID:  9074240     Owner:  NLM     Status:  Publisher    
We evaluated the safety of operative laparoscopy for the management of ectopic pregnancy in 119 women with hypovolemic shock. In 19 (16.0%) of these women hypovolemic shock was based on a combination of signs and symptoms including hypotension, tachycardia, anxiety, thirst, tachypnea, and slow capillary refill. The table below presents the results (mean &plusmn; SEM; ap <0.01). One case in each group was converted to laparotomy, and all patients made full recovery. Laparoscopy allows rapid diagnosis and control of the source of bleeding, making it highly suitable for the surgical management of a ruptured ectopic pregnancy. The availability of appropriate anesthesia and advanced cardiovascular monitoring, and ability to convert rapidly to a laparotomy if necessary, allow safe performance of operative laparoscopic surgery in women with hypovolemic shock.
Soriano; Yefet; Oelsner; Goldenberg; Mashiach; Seidman
Publication Detail:
Journal Detail:
Title:  The Journal of the American Association of Gynecologic Laparoscopists     Volume:  3     ISSN:  1074-3804     ISO Abbreviation:  J Am Assoc Gynecol Laparosc     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1997-03-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9417443     Medline TA:  J Am Assoc Gynecol Laparosc     Country:  -    
Other Details:
Languages:  eng     Pagination:  S47     Citation Subset:  -    
Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer 52621 Israel.
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