Document Detail


A comparison of the incidence, presentation, and management of ovarian pregnancies between two periods of time.
MedLine Citation:
PMID:  15200773     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To compare the prevalence, presentation diagnostic modalities, and management of 37 ovarian pregnancies in one institution during two time periods. DESIGN: A retrospective study (Canadian Task Force classification II-2). SETTING: Department of Gynecology in a university-affiliated hospital. PATIENTS: Twenty patients with ovarian pregnancy between 1971-1989 compared with 17 patients with ovarian pregnancy between 1990-2000. MEASUREMENTS AND MAIN RESULTS: Seventeen ovarian pregnancies, diagnosed between 1990-2000, comprised 2.6% (17/634) of all ectopic pregnancies, 1:3500 of all live births leading to a mean ovarian pregnancy rate per year of 1.5, as opposed to 3.1% (20/647) of all ectopic pregnancies, 1:3600 of all live births, and a mean ovarian pregnancy rate per year of 1.1 in the previous period. Circulatory collapse was present in 4/17 (23%) patients in the 1990-2000 time period and in 6/20 (30%) in the previous period. Culdocentesis for diagnostic purposes was practically abandoned in the recent decade. Wedge resection by laparotomy was the treatment of choice in the past, and after 1997, it was performed exclusively by laparoscopy. When an ovarian pregnancy was diagnosed, an intrauterine device (IUD) was present in 65% of all patients and in 73% of women who had previously conceived in the 1999-2000 time period, compared with higher rates in the previous period (90% and 100%, respectively). CONCLUSION: The absolute number of ovarian pregnancies in the last 11 years increased when compared with the previous 19 years; however, the prevalence rate per delivery was stable. Patients still experienced circulatory collapse despite modern diagnostic modalities. Culdocentesis for diagnostic purposes has become an unnecessary procedure. Laparoscopic wedge resection was the treatment of choice. The relationship between IUD use and ovarian pregnancies was still strong.
Authors:
Arieh Raziel; Eytan Mordechai; Morey Schachter; Shevach Friedler; Moty Pansky; Raphael Ron-El
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of the American Association of Gynecologic Laparoscopists     Volume:  11     ISSN:  1074-3804     ISO Abbreviation:  J Am Assoc Gynecol Laparosc     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-06-17     Completed Date:  2004-07-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9417443     Medline TA:  J Am Assoc Gynecol Laparosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  191-4     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center, Tel-Aviv University, Zerifin, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Distribution
Cohort Studies
Female
Follow-Up Studies
Humans
Intrauterine Devices / adverse effects
Laparoscopy / methods*
Maternal Age
Pregnancy
Pregnancy, Ectopic / diagnosis,  epidemiology*,  surgery*
Pregnancy, High-Risk
Prevalence
Probability
Retrospective Studies
Risk Assessment
Surgical Procedures, Minimally Invasive / methods
Time Factors
Treatment Outcome

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


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