1,841 results match your criteria Surgical Management of Ectopic Pregnancy


A Scary Complication: Single-center Study on Management and Outcome of Cesarean Scar Pregnancy.

Rev Bras Ginecol Obstet 2021 Apr 12;43(4):311-316. Epub 2021 May 12.

Department of Obstetrics and Gynecology, Ulm University, Ulm, Germany.

A cesarean scar pregnancy (CSP) is a scary and life-threatening complication of cesarean section (CS). Nevertheless, the incidence of CS is constantly growing. The CSP incidence is 0,15% of pregnancies after CS which represents 6,1% of all ectopic pregnancies in women with condition after CS. Read More

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Cesarean Scar Pregnancy Treated by Artery Embolization Combined with Diode Laser: A Novel Approach for a Rare Disease.

Medicina (Kaunas) 2021 Apr 23;57(5). Epub 2021 Apr 23.

Department of Medical and Surgical Sciences, Institute of Obstetrics and Gynaecology, University of Foggia, 71121 Foggia, Italy.

Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy which represents a consequence of a previous cesarean section. It is associated with major maternal morbidity and mortality and has potential implications on future fertility. Because of possible serious complications, CSP should be swiftly diagnosed and treated. Read More

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Cesarean Scar Ectopic Pregnancy-Case Series: Treatment Decision Algorithm and Success with Medical Treatment.

Medicina (Kaunas) 2021 Apr 8;57(4). Epub 2021 Apr 8.

FEA Obstetric and Gynecology Hospital Regional Materno Infantil, C.P.29011 Málaga, Spain.

: Cesarean scar ectopic pregnancies are a rare form of extrauterine pregnancies, yet their incidence has increased along with the rise in the number of cesarean deliveries. As with other ectopic pregnancies, cesarean scar ectopic pregnancies pose a greater risk for maternal hemorrhage and ultimately maternal mortality. : We present a series of clinical cases of cesarean scar ectopic pregnancy diagnosed by transvaginal ultrasonography. Read More

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Laparoscopic management of a primary posterior cul-de-sac abdominal ectopic pregnancy.

Fertil Steril 2021 Apr 20. Epub 2021 Apr 20.

Department of Obstetrics and Gynecology, New York Presbyterian Hospital-Weill Cornell Medicine, New York, New York. Electronic address:

Objective: To report a case of laparoscopic management of a primary posterior cul-de-sac abdominal ectopic pregnancy (AEP).

Design: Video article.

Setting: Academic medical center. Read More

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Methotrexate injection for interstitial pregnancy: Hysteroscopic conservative mini-invasive approach.

Facts Views Vis Obgyn 2021 Mar 31;13(1):73-76. Epub 2021 Mar 31.

Division of Gynaecology and Human Reproduction Physiopathology Unit, DIMEC, IRCCS Azienda Ospedaliero- Universitaria di Bologna, Italy.

Background: Interstitial localisation of ectopic pregnancy is associated with high rates of maternal morbidity and mortality. Considering the rarity of interstitial pregnancy, the optimal treatment regimen remains unclear. We propose the management of interstitial pregnancy with local methotrexate injection using a combined hysteroscopic and ultrasonographic approach. Read More

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Successful hysteroscopy and curettage of a caesarean scar ectopic pregnancy.

BMJ Case Rep 2021 Apr 15;14(4). Epub 2021 Apr 15.

Department of Obstetrics and Gynaecology, Basildon University Hospital, Mid and South Essex NHS Foundation Trust, Basildon, UK.

Caesarean scar ectopic pregnancies are the rarest type of ectopic pregnancy. The optimum management regime is not yet established. We report the case of a 39-year-old woman who presented at 11 weeks gestation with painless vaginal bleeding, having had 2 previous caesarean sections. Read More

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Mifepristone and Misoprostol for Early Pregnancy Loss and Medication Abortion.

Am Fam Physician 2021 04;103(8):473-480

Tufts University Family Medicine Residency at Cambridge Health Alliance, Malden, MA, USA.

Medication regimens using mifepristone and misoprostol are safe and effective for outpatient treatment of early pregnancy loss for up to 84 days' gestation and for medication abortion up to 77 days' gestation. Gestational age is determined using ultrasonography or menstrual history. Ultrasonography is needed when gestational dating cannot be confirmed using clinical data alone or when there are risk factors for ectopic pregnancy. Read More

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Ovarian vein thrombosis: a potential clinical consequence of ruptured ectopic pregnancy.

BMJ Case Rep 2021 Apr 9;14(4). Epub 2021 Apr 9.

College of Medicine, Florida State University, Sarasota, Florida, USA.

A healthy 32-year-old G3P3 woman with an unknown last menstrual period presented to the emergency department with intense abdominal pain and pain in the right chest that radiated down the right arm. Further workup showed that she had a ruptured ectopic pregnancy with significant haemoperitoneum. After successful laparoscopic evacuation of the ectopic pregnancy and haemoperitoneum, the patient subsequently developed a right ovarian vein thrombosis 4 weeks after the procedure. Read More

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Surgical management of interstitial (cornual) ectopic pregnancy: many ways to peel an orange!

Fertil Steril 2021 May 30;115(5):1193-1194. Epub 2021 Mar 30.

Wright State University Boonshoft School of Medicine, Dayton, Ohio; Center for Reproductive Medicine, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.

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Successful management of three cases of interstitial pregnancies with local instillation of potassium chloride: avoiding a potential cornuostomy.

BMJ Case Rep 2021 Mar 23;14(3). Epub 2021 Mar 23.

Obstetrics and Gynecology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Here, we present three cases of women with interstitial pregnancy who were managed with local instillation of potassium chloride. These women were in their 20s-30s and presented in stable condition. Of them, two had a history of previous ectopic pregnancy. Read More

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First-trimester miscarriage: A histopathological classification proposal.

Heliyon 2021 Mar 8;7(3):e06359. Epub 2021 Mar 8.

School of Medicine, University of Minho, Surgical Sciences Domain Research, Campus de Gualtar, 4710-057, Braga, Portugal.

Background: Histopathology of first-trimester abortion products may be useful in document an intrauterine pregnancy, identifying an important pathology affecting the mother or the embryo and diagnosing conditions that are likely to recur in future pregnancies or that explain the adverse fetal outcome. Relevant information provided by histology is essential to determine the cause and to guide the patients with early pregnancy failure.

Aims: Histopathological classification proposal in first-trimester miscarriage. Read More

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Abdominal ectopic pregnancy complicated with a large bowel injury: a case report.

J Med Case Rep 2021 Mar 22;15(1):127. Epub 2021 Mar 22.

Department of Surgery, Saint Paul's Hospital millennium Medical College, Addis Ababa, Ethiopia.

Background: Abdominal pregnancy accounts for 0.6 to 4% of all ectopic pregnancies. Due to delays in diagnosis and difficulties in the management of abdominal pregnancy, the risk of mortality is significantly higher than for uncomplicated ectopic pregnancies. Read More

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Blood clot, the innocent culprit of pain in hypochondrium: an unusual presentation of ectopic pregnancy.

BMJ Case Rep 2021 Mar 19;14(3). Epub 2021 Mar 19.

Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.

Chronic ectopic pregnancy is a variant of ectopic pregnancy presenting as chronic lower abdominal pain, menstrual irregularity and pelvic mass. Often, chronic ectopic may pose diagnostic conundrum due to unusual presentations. We are presenting an unusual case of chronic ectopic with negative urine pregnancy test, who presented with pain in right hypochondrium. Read More

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Management of a spontaneously conceived live unilateral twin ectopic pregnancy in Australia: A case report.

Case Rep Womens Health 2021 Apr 12;30:e00300. Epub 2021 Feb 12.

Department of Obstetrics and Gynaecology, Royal North Shore Hospital, Australia.

Introduction: Unilateral twin ectopic pregnancies are exceedingly rare, occurring in one in every 250,000 pregnancies. While clear guidelines exist regarding the management of singleton ectopic pregnancies, no such recommendations exist for multi-gestational ectopic pregnancies.

Case Presentation: A 36-year-old woman, gravida 3 para 1, presented to the emergency department at 6 weeks and 4 days of gestation with a live twin ectopic pregnancy diagnosed on a dating ultrasound scan. Read More

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Suction Curettage and Foley Balloon as a First-Line Treatment Option for Caesarean Scar Pregnancy and Reproductive Outcomes.

Int J Womens Health 2021 23;13:239-245. Epub 2021 Feb 23.

Obstetrics and Gynecology Department, Fırat University Medicine Faculty Hospital, Elazığ, Turkey.

Background: Caesarean scar pregnancy (CSP) is associated with various serious pregnancy complications. This study presents the outcomes of patients treated with suction curettage and Foley balloon as the first-line treatment for CSP as well as their future outcomes in terms of successful pregnancy.

Methods: Of the 44 patients diagnosed with CSP between January 2015 and April 2019, 42 who provided consent for the termination of pregnancy and who simultaneously underwent the transabdominal ultrasound-guided suction curettage + Foley balloon treatment were included in the study. Read More

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February 2021

Retroperitoneal ectopic pregnancy: A literature review of reported cases.

Eur J Obstet Gynecol Reprod Biol 2021 Apr 18;259:113-118. Epub 2021 Feb 18.

Department of Gynecology, Guangdong Second Provincial General Hospital, Guangzhou, China.

To provide reference for the diagnosis and treatment of retroperitoneal ectopic pregnancy (REP), we conducted a review on all of the reported cases in English by summarizing their clinical manifestation, diagnosis, management and prognosis. A total of 25 literatures including 26 REP cases were collected from PubMed database. 40 % (10/25) of the patients had a history of tubal pregnancy, 65. Read More

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Laparoscopic blockage of uterine artery in the management of large cornual pregnancy.

Fertil Steril 2021 May 19;115(5):1350-1352. Epub 2021 Feb 19.

Obstetrics and Gynecology Hospital and Department of Obstetrics and Gynecology of Shanghai Medical School, Fudan University, Shanghai, People's Republic of China; Shanghai Key Laboratory of Female Reproductive Endocrine Related Diseases, Shanghai, People's Republic of China. Electronic address:

Objective: To present a technique of temporary uterine artery clamping before laparoscopic surgery for prevention of blood loss in cornual ectopic pregnancy.

Design: Step-by-step explanation of the entire surgical procedure using video and still images (Canadian Task Force classification III).

Setting: Tertiary university-based hospital. Read More

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Delayed presentation of ectopic pregnancy during the COVID-19 pandemic: A retrospective study of a collateral effect.

Int J Gynaecol Obstet 2021 Jun 8;153(3):457-461. Epub 2021 Mar 8.

Department of Obstetrics & Gynecology, Shaare Zedek Medical Center, Affiliated with the Hebrew University School of Medicine, Jerusalem, Israel.

Objective: We aimed to assess the rates of overall diagnosis of ectopic pregnancy (EP), treatment modality and associated complications during the COVID-19 pandemic compared to the exact time period in the previous year (pre-COVID-19).

Methods: A retrospective cohort study was conducted at a single referral regional center (Shaare Zedek Medical Center, Jerusalem, Israel). Prevalence of the diagnosis of EP, treatment modality and associated complications during the COVID-19 lockdown period in the state of Israel (March 10-May 12, 2020) was compared to patients receiving the same diagnosis during the parallel timeframe in the previous year (2019). Read More

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Determinants of ectopic pregnancy among pregnant women attending referral hospitals in southwestern part of Oromia regional state, Southwest Ethiopia: a multi-center case control study.

BMC Pregnancy Childbirth 2021 Feb 12;21(1):130. Epub 2021 Feb 12.

Department of gynecology and obstetrics, Wellega University, Wellega, Ethiopia.

Background: Ectopic pregnancy is an abnormal condition in which implantation of the blastocyst occurs outside the endometrium of the uterus. It is gynecological important, particularly in the developing world, because of associated with enormous rate of high morbidity, during the first trimester of pregnancy. A better understanding of its risk factors can help to prevent its prevalence. Read More

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February 2021

A systematic review and meta-analysis of laparotomy compared with laparoscopic management of interstitial pregnancy.

Facts Views Vis Obgyn 2021 Jan 8;12(4):299-308. Epub 2021 Jan 8.

Midwestern University College of Osteopathic Medicine, Glendale, Arizona, USA.

Background: Interstitial pregnancy is a rare but life-threatening condition accounting for 1-4% of all types of tubal ectopic pregnancies. It can be managed by open and minimally invasive surgical techniques. Our goal was to compare laparoscopic and open surgery for managing interstitial pregnancy. Read More

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January 2021

Scar Pregnancy and Extrauterine Implants.

Semin Ultrasound CT MR 2021 Feb 21;42(1):46-55. Epub 2020 Aug 21.

Diagnostic and Interventional Radiology, Imaging Department, Azienda Ospedaliero Universitaria Pisana, University of Pisa, Pisa, Italy.

Cesarean scar pregnancy (CSP) is a rare occurrence consisting in the implantation of the embryo within the myometrium of a prior cesarean delivery scar. The CSP could be a dangerous condition for women because of the related complications such as placenta previa or accreta, uterine rupture, and hemorrhage. Therefore, early diagnosis and rapid treatment are crucial. Read More

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February 2021

Ectopic pregnancy management by V-NOTES technique.

J Gynecol Obstet Hum Reprod 2021 May 26;50(5):102073. Epub 2021 Jan 26.

Department of Gynaecology Surgery, Femme Mère Enfant Hospital, 59 Boulevard Pinel, 69677 Lyon, Bron, France; Claude Bernard Lyon 1 University, Avenue Rockfeller, 69008 Lyon, France.

Ectopic pregnancy is a frequent and life-threatening risk of childbearing. Its management represents a mainstay of emergency gynecological surgery, and laparoscopy is the surgical gold standard technique. The technique of transvaginal natural orifice transluminal endoscopic surgery (V-NOTES) for the management of ectopic pregnancy is presented herein. Read More

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Study of Ectopic Pregnancy at Tertiary Care Hospital in Province 1 of Nepal.

J Nepal Health Res Counc 2021 Jan 21;18(4):698-701. Epub 2021 Jan 21.

Department of Obstretics and Gynaecology, Nobel Medical College Teaching Hospital, Biratnagar, Nepal.

Background: Ectopic pregnancy can be managed expectantly, medically or surgically. Laparoscopic surgery is considered gold standard. The aim of this study was to find incidence, risk factors, clinical presentation and mode of management of ectopic pregnancy. Read More

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January 2021

Successful conservative medical management of an interstitial ectopic pregnancy at 10 weeks of gestation: A case report.

Case Rep Womens Health 2021 Jan 26;29:e00284. Epub 2020 Dec 26.

University Hospital of Ioannina, Department of Obstetrics and Gynecology, Ioannina, Greece.

Background: Interstitial pregnancy is a rare type of ectopic pregnancy, accounting for 2-6% of ectopic pregnancies, but it can be life threatening. There is no clear consensus on management, either surgical or medical, and it depends on hemodynamic stability and whether fertility-sparing treatment is requested.

Case Presentation: We present the case of a 35-year-old woman (G2, P1) who was diagnosed with an interstitial pregnancy at 10 weeks of gestation following in vitro fertilization. Read More

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January 2021

Laparoscopic management of cesarean scar pregnancy: Report of two cases with video-presentation of different operative techniques and literature review.

J Gynecol Obstet Hum Reprod 2021 Jan 20;50(8):102066. Epub 2021 Jan 20.

Endoscopic Surgery Unit, 1st Department of Obstetrics & Gynecology, National and Kapodistrian University of Athens, "Alexandra" Hospital, Athens, Greece.

Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy. We present two different techniques of laparoscopic management of CSP, with the concomitant repair of the coexisting uterine isthmocele. The first case is a combination of diagnostic hysteroscopy and laparoscopic extraction of conception products, and the second technique is a combination of laparoscopy and guided Dilation & Curettage. Read More

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January 2021

Guideline No. 414: Management of Pregnancy of Unknown Location and Tubal and Nontubal Ectopic Pregnancies.

J Obstet Gynaecol Can 2021 Jan 13. Epub 2021 Jan 13.

Toronto, ON.

Objective: To provide an evidence-based algorithm to guide the diagnosis and management of pregnancy of unknown location and tubal and nontubal ectopic pregnancy.

Target Population: All patients of reproductive age.

Benefits, Harms, And Costs: The implementation of this guideline aims to benefit patients with positive β-human chorionic gonadotropin results and provide physicians with a standard algorithm for expectant, medical, and surgical treatment of pregnancy of unknown location and tubal pregnancy and nontubal ectopic pregnancies. Read More

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January 2021

Post-caesarean Niche (Isthmocele) in Uterine Scar: An Update.

J Obstet Gynaecol India 2020 Dec 21;70(6):440-446. Epub 2020 Sep 21.

Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, 3082 A, 3rd Floor, Teaching Block, Ansari Nagar, New Delhi, 110029 India.

Uterine niche is one of the emerging complications of caesarean section. With rising caesarean rates, the caesarean-related iatrogenic complications are also on the rise. These include placenta accreta, scar ectopic pregnancy and uterine niche which is a newer entity being described in the recent literature. Read More

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December 2020

Combined interventional radiology and surgical management of a complex caesarean scar ectopic pregnancy.

J Med Imaging Radiat Oncol 2021 Jan 6. Epub 2021 Jan 6.

Department of Obstetrics, Mercy Hospital for Women, Melbourne, Victoria, Australia.

Caesarean scar ectopic pregnancies are rare but growing in incidence due to increasing rates of caesarean deliveries. These cases have historically been treated with either medical or surgical management which both have significant limitations. More recently, uterine artery embolisation (UAE) has shown significant promise in the treatment of this condition. Read More

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January 2021

Termination of pregnancy may not be the only option for women diagnosed with live caesarean scar pregnancy at an early gestation: Lights and shadows.

Aust N Z J Obstet Gynaecol 2020 12;60(6):987-988

Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

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December 2020

Thresholds for managing live caesarean scar ectopics expectantly - where should we draw the line?

Authors:
Jason A Abbott

Aust N Z J Obstet Gynaecol 2020 12;60(6):989-990

School of Women's and Children's Health, Royal Hospital for Women, UNSW Sydney, Sydney, NSW, Australia.

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December 2020