Surgical treatment of tubal ectopic pregnancy through posterior colpotomy: experience from a Brazilian university hospital
10.5468/ogs.2019.62.6.487
- Author:
Tábata Longo da Silva MACHADO
1
;
Alysson ZANATTA
;
Larissa Gonçalves Braz SANTOS
;
Rafaella Ferreira de Araújo LITVIN
;
Lizandra Moura Paravidine SASAKI
;
Júlio ELITO JÚNIOR
;
Edward ARAUJO JÚNIOR
;
Alberto Moreno ZACONETA
Author Information
1. Department of Obstetrics and Gynecology, University of Brasília (UnB), Brasília-DF, Brazil.
- Publication Type:Case Report
- Keywords:
Tubal pregnancy;
Operative surgical procedures;
Colpotomy
- MeSH:
Chorionic Gonadotropin;
Colpotomy;
Fallopian Tubes;
Female;
Gestational Age;
Humans;
Medical Records;
Methods;
Operative Time;
Peritoneal Lavage;
Pregnancy;
Pregnancy, Ectopic;
Pregnancy, Tubal;
Retrospective Studies;
Salpingectomy;
Salpingostomy;
Surgical Procedures, Operative
- From:Obstetrics & Gynecology Science
2019;62(6):487-490
- CountryRepublic of Korea
- Language:English
-
Abstract:
The objective of this study was to evaluate the feasibility of posterior colpotomy for the surgical treatment of tubal ectopic pregnancy in hemodynamically stable women. We performed a retrospective analysis of medical records obtained over a period of 18 months. Twelve cases were identified, with the following characteristics: mean gestational age, 7.7 weeks; mean serum β-human chorionic gonadotropin level, 7,786 mIU/mL; and greater diameter of the mass, 15–69 mm. Treatment was successful in all cases. Salpingectomy was performed in 10 patients (83.3%) and salpingostomy, in 1 patient. The remaining patient only received peritoneal lavage, as the evidence of ectopic abortion with only a slightly dilated uterine tube was found during surgery. The mean surgical time was 42.5 minutes. In the analyzed cases, posterior colpotomy was found to be a feasible alternative method for the surgical treatment of tubal ectopic pregnancy in hemodynamically stable women.
