1,968 results match your criteria Surgical Management of Ectopic Pregnancy


Comparing four different methods for the management of ectopic pregnancy: A cross-sectional study.

Int J Reprod Biomed 2021 Mar 21;20(3):177-184. Epub 2022 Apr 21.

Infertility Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Ectopic pregnancy (EP) is one of the major causes of maternal mortality during the first trimester of pregnancy.

Objective: Four treatment methods for EP including single-dose methotrexate (SD-MTX), double-dose methotrexate, expectant and surgical management were considered.

Materials And Methods: In this cross-sectional study, the clinical characteristics of 365 women aged 15-44 yr who had been diagnosed with EP were reviewed from March 2017 to March 2019 in hospitals affiliated to Shiraz University of Medical Sciences, Shiraz, Iran. Read More

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Comparison of different treatment strategies in the management of endogenic caesarean scar pregnancy: a multicentre retrospective study.

BMC Pregnancy Childbirth 2022 May 12;22(1):404. Epub 2022 May 12.

Department of Gynaecology and Obstetrics, Qilu Hospital of Shandong University, No.107 Wenhua West Road, Jinan, Jinan, 250012, China.

Background: The aim of this study was to evaluate the effectiveness and safety of different treatment strategies for endogenic caesarean scar pregnancy (CSP) patients.

Methods: According to Vial's standard, we defined endogenic-type CSP as (1) the gestational sac growing towards the uterine cavity and (2) a greater than 0.3 cm thickness of myometrial tissue at the caesarean scar. Read More

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Technical Notes Surgical treatment of a ruptured interstitial pregnancy.

J Gynecol Obstet Hum Reprod 2022 May 4:102403. Epub 2022 May 4.

Department of Gynecology and Obstetrics and Human reproduction, CHU Rennes, Rennes, France; University Rennes 1, France, INSERM, LTSI - UMR 1099. Electronic address:

Non-tubal ectopic pregnancies represent fewer than 10% of all ectopic pregnancies. However, they are associated with a high rate of mortality due to late diagnosis and uterine horn rupture which requires radical emergency surgical management. Cornuectomy via laparoscopy is a treatment of choice. Read More

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Expectant management of a heterotopic interstitial pregnancy - a case report.

Case Rep Womens Health 2022 Apr 23;34:e00414. Epub 2022 Apr 23.

Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, United States of America.

Heterotopic pregnancy is the simultaneous occurrence of two pregnancies at two different implantation sites, mostly intrauterine and extrauterine sites. An interstitial ectopic pregnancy as part of a heterotopic pregnancy is very rare. This report highlights the case of a 40-year-old woman with heterotopic pregnancy who had conceived via assisted reproductive technology. Read More

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Transvaginal Ultrasound-Guided Methotrexate Instillation for Failed Medical Management of Ectopic Pregnancies in Subfertile Women.

J Hum Reprod Sci 2022 Jan-Mar;15(1):90-95. Epub 2022 Mar 31.

ART Centre, Army Hospital, New Delhi, India.

Background: Ectopic pregnancy (EP) defined as extrauterine implantation of the embryo can be managed medically or surgically. Medical management entails systemic administration of the antineoplastic drug methotrexate (MTX) which, if not successful, surgical management is resorted to. However, we carried out this study wherein the failed medical management cases were given intra-gestational sac MTX instead of surgery. Read More

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First trimester uterine rupture: a case report and systematic review of the literature.

Am J Obstet Gynecol 2022 Apr 26. Epub 2022 Apr 26.

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, USA.

Objective: To present a case of first trimester uterine rupture and perform systematic review to identify common presentations, risk factors, and management strategies.

Data Sources: Searches were performed in Pubmed, Ovid, and Scopus using a combination of keywords related to "uterine rupture", "first trimester", and "early pregnancy" from database inception through September 30th, 2020.

Study Eligibility Criteria: English language descriptions of uterine rupture ≤14 weeks gestation were included and cases involving pregnancy termination and ectopic pregnancy were excluded. Read More

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Hysteroscopic resection vs dilation and evacuation for treatment of caesarean scar pregnancy: study protocol for a randomised controlled trial.

Facts Views Vis Obgyn 2022 Mar;14(1):83-86

Background: Caesarean scar pregnancy (CSP) is a type of ectopic pregnancy where the fertilised egg is implanted in the muscle or fibrous tissue of the scar after a previous caesarean section. Management options for women who opted for termination of CSP include sharp curettage, dilation and evacuation (D&E), excision of trophoblastic tissues, local or systemic administration of methotrexate, bilateral hypogastric artery ligation, and selective uterine artery embolisation with curettage and/or methotrexate administration. Recently hysteroscopic resection has also been proposed as an alternative option. Read More

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Pregnancy in a Non-Communicating Rudimentary Horn of Unicornuate Uterus.

Diagnostics (Basel) 2022 Mar 21;12(3). Epub 2022 Mar 21.

Department of Obstetrics and Gynecology, Tung's Taichung MetroHarbor Hospital, Taichung 435, Taiwan.

We report a rare case of non-communicating rudimentary horn pregnancy (RHP). The patient presented with lower abdominal pain and underwent laparoscopic surgery in which the gestational tissue was removed without excision of the rudimentary horn and ipsilateral fallopian tube. Unicornuate uteri often coexist with rudimentary horns, most of which are non-communicating. Read More

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Non-surgical management of abdominal ectopic pregnancy with uterine artery embolization.

Radiol Case Rep 2022 May 19;17(5):1631-1633. Epub 2022 Mar 19.

Division of Interventional Radiology, Department of Radiology, University of Kentucky Medical Center, Lexington, KY, USA.

Abdominal pregnancy is a rare but life-threatening variation of ectopic pregnancy that is often treated with laparoscopic management; however, we present a case successfully treated using only minimally invasive techniques. A 36-year-old female G1P0 with a history of infertility is diagnosed with 11-weeks abdominal pregnancy by transvaginal ultrasound. She presented with vaginal bleeding and abdominal pain, and her beta-human chorionic gonadotropin was 53,680 mIU/mL. Read More

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Cesarean scar ectopic pregnancies - a retrospective case series at an Australian tertiary referral center.

Int J Gynaecol Obstet 2022 Mar 19. Epub 2022 Mar 19.

Women's and Children's Hospital, Adelaide, South Australia, Australia.

Objective: To review the management, success, and complication rates of women who presented with a cesarean scar ectopic pregnancy at an Australian tertiary referral center.

Methods: A retrospective case series was undertaken. Patients were identified through the hospital's clinical information services coding system and data were collected from medical records. Read More

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The diagnosis and management of ectopic pregnancy presenting to Mater Dei Hospital between June 2019 and June 2020.

J Obstet Gynaecol 2022 Mar 17:1-5. Epub 2022 Mar 17.

Department of Gynaecology and Obstetrics, Mater Dei Hospital, Msida, Malta.

The incidence of ectopic pregnancies has steadily increased over recent years and despite advances in treatment it still remains a major cause of maternal morbidity and mortality. The objective of this audit was to assess whether diagnosis and management is occurring as per international suggested guidance and practice. This study is a retrospective one using data collected from June 2019 to June 2020. Read More

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FERTILITY OUTCOMES AFTER MEDICAL AND SURGICAL MANAGEMENT OF TUBAL ECTOPIC PREGNANCY.

Authors:
Senem Arda Düz

Acta Clin Croat 2022 Feb;60(3):347-353

Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Inonu University Faculty of Medicine, Malatya, Turkey.

The objective was to investigate whether the method of treatment (surgical or medical) affects achieving a new pregnancy, as well as the time to and prognosis of the new pregnancy, in women with ectopic pregnancy (EP). Information on patients treated in our hospital between 2013 and 2014 for EP was retrieved from the computerized patient records. Data on whether these patients achieved pregnancy after EP treatment, time from treatment to new pregnancy, and prognosis of pregnancy were collected by phone interviews. Read More

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February 2022

Management of non-tubal ectopic pregnancies in France: Results of a practice survey.

J Gynecol Obstet Hum Reprod 2022 Apr 26;51(4):102330. Epub 2022 Feb 26.

Department of Obstetrics and Gynecology, Angers University Hospital, 4 rue Larrey, Angers 49100, France. Electronic address:

Introduction: Non-tubal ectopic pregnancies (NTEP) in France constitute approximately 5% of ectopic pregnancies (EP). A NTEP can be abdominal, ovarian, cervical, interstitial, on a caesarean scar, or cornual. These pregnancies, which are sometimes difficult to diagnose and are often diagnosed late, carry a high risk of complications, particularly haemorrhages. Read More

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Live tubal ectopic pregnancy managed with localised injection of methotrexate into gestational sac.

BMJ Case Rep 2022 Feb 28;15(2). Epub 2022 Feb 28.

Department of Obstetrics and Gynaecology, Royal London Hospital, London, UK.

Ectopic pregnancy is a pregnancy outside the uterine cavity and is, in majority of cases, a non-viable pregnancy. There are multiple methods of managing patients with ectopic pregnancy including expectant, medical and surgical management. Live tubal ectopic pregnancies, also known as ectopic pregnancies present in the fallopian tube with fetal heartbeat still present, are most commonly treated via surgical route. Read More

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February 2022

Hysteroscopic removal, with or without laparoscopic assistance, of first-trimester cesarean scar pregnancy.

Fertil Steril 2022 03;117(3):643-645

Department of Obstetrics and Gynecology, Linkou Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan. Electronic address:

Objective: To demonstrate the implementation and potential benefits of hysteroscopic removal, with or without concomitant laparoscopic assistance, of first-trimester cesarean scar pregnancies (CSPs).

Design: Patients with prior cesarean deliveries may have scar formation at the muscular wall of the uterine isthmus, resulting in a cesarean scar defect (CSD), also known as an isthmocele or diverticulum. When implantation of a trophoblast occurs at the CSD, a CSP develops, and with progression onto higher gestational age, it carries risks for serious complications, such as placenta previa spectrum, life-threatening bleeding, uterine rupture, and cesarean hysterectomy. Read More

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Prevalence and Pregnancy Outcome of Mullerian Anomalies in Infertile Women: A Retrospective Study.

J Hum Reprod Sci 2021 Oct-Dec;14(4):431-435. Epub 2021 Dec 31.

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

Background: Uterine anomalies arise if there is agenesis of one or two mullerian ducts, or absence of fusion or reabsorption of the septum between these ducts. The process may be partial or total and affect one or multiple parts of the tract.

Aims: This study was done to assess the distribution of various types of mullerian anomalies in infertile women, their classification based on ESHRE and AFS, associated anomalies, types of diagnostic modalities used, surgical interventions done(if any), various types of infertility treatment used and their outcomes. Read More

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December 2021

[Ovarian pregnancy case study and literature review].

Pan Afr Med J 2021 7;40:208. Epub 2021 Dec 7.

Centre de Maternité et Néonatologie, Centre Hospitalier Universitaire Fattouma Bourguiba de Monastir, Monastir, Tunisie.

Ovarian pregnancy is a rare entity among ectopic pregnancies. Its diagnosis and management are not always easy. It is a particular pathology, the clinician is confronted with a poor clinical semiology and a difficult ultrasound diagnosis. Read More

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February 2022

Management of Acquired Uterine Arteriovenous Malformations Associated with Retained Products of Conception.

J Vasc Interv Radiol 2022 05 29;33(5):547-553. Epub 2022 Jan 29.

Department of Obstetrics and Gynecology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China. Electronic address:

Purpose: To evaluate the efficacy and safety of different treatments for acquired uterine arteriovenous malformations associated with retained products of conception (UAVM-RPOC) and to investigate the role of uterine artery embolization (UAE) in acquired UAVM-RPOC.

Materials And Methods: This was a retrospective study of consecutive patients who were diagnosed with uterine arteriovenous malformation by ultrasound after recently terminated pregnancy. Forty-eight patients were included in this study and were divided into 2 groups (major and minor bleeding groups) according to vaginal bleeding. Read More

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Caesarean scar ectopic pregnancy masquerading as gestational trophoblastic disease.

J Postgrad Med 2022 Jan-Mar;68(1):35-37

Department of Pathology, Topiwala National Medical College and BYL Nair Ch. Hospital, Mumbai, Maharashtra, India.

Cesarean scar ectopic pregnancy (CSEP) is a very rare form of ectopic pregnancy in which implantation occurs at the site of the previous cesarean scar with low or absent beta-human chorionic gonadotropin (hCG) levels. It has various differential diagnoses on gross and microscopic examination. A delay in the identification and management of this condition may lead to life-threatening complications. Read More

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February 2022

The risk of miscarriage following surgical treatment of heterotopic extrauterine pregnancies.

Hum Reprod Open 2022 3;2022(1):hoab046. Epub 2022 Jan 3.

Gynaecology Diagnostics and Outpatient Treatment Unit, University College London Hospital, London, UK.

Study Question: What is the risk of loss of a live normally sited (eutopic) pregnancy following surgical treatment of the concomitant extrauterine ectopic pregnancy?

Summary Answer: In women diagnosed with heterotopic pregnancies, minimally invasive surgery to treat the extrauterine ectopic pregnancy does not increase the risk of miscarriage of the concomitant live eutopic pregnancy.

What Is Known Already: Previous studies have indicated that surgical treatment of the concomitant ectopic pregnancy in women with live eutopic pregnancies could be associated with an increased risk of miscarriage. The findings of our study did not confirm that. Read More

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January 2022

Success rate of methotrexate in the conservative treatment of tubal ectopic pregnancies.

Exp Ther Med 2022 Feb 16;23(2):150. Epub 2021 Dec 16.

Department of Medical Expertise and Work Capacity Recovery, National Institute of Medical Expertise and Work Capacity Recovery, 050653 Bucharest, Romania.

An ectopic pregnancy (EP) involves the implantation of the gestational sac outside the uterine cavity. In the event of diagnosing an EP, the current medical approach is to avoid surgery and to preserve fertility whenever possible; therefore, methotrexate (MTX)-based therapy has become prominent in recent years. MTX, a drug usually used to treat severe forms of autoimmune diseases and several types of cancer, has proven its utility in the conservative treatment of EPs. Read More

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February 2022

Diagnostic and Management of Undescended Ovary - A Preoperative Dilemma: A Case-Based Systematic Review.

Int J Womens Health 2022 11;14:15-27. Epub 2022 Jan 11.

Clinical Medical Department, Faculty of Medicine and Pharmacy, "Dunărea de Jos" University, Galați, Romania.

Undescended ovary (UO) is an uncommon congenital condition characterized by the presence of the adnexa above the common iliac vessels, with an estimated incidence of 0.3-2%. Because of its rarity, it is usually presented as a case report. Read More

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January 2022

Diagnosis and management of ectopic ovarian pregnancy: a rare case report.

Int J Surg Case Rep 2022 Feb 29;91:106742. Epub 2021 Dec 29.

Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Casablanca, Morocco; Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Introduction: Ovarian pregnancy is a rare form of ectopic pregnancy. Its incidence is 0.5% to 1% of all ectopic gestations, or 1 in 7000 to 40,000 live births. Read More

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February 2022

The impact of the Covid-19 pandemic on care of women with ectopic pregnancy in a tertiary London hospital.

Facts Views Vis Obgyn 2021 Dec;13(4):395-398

Background: In response to the COVID-19 pandemic, a central London tertiary referral hospital's nurse-led Early Pregnancy & Acute Gynaecology Unit (EPAGU) suspended its walk-in service in favour of a telephone triage system with scheduled appointments.

Objective: To assess if the pandemic and this adaptation to clinical services had an impact on the presentation, management and complication rate of ectopic pregnancies.

Materials And Methods: A retrospective review was performed of ectopic pregnancies diagnosed in the EPAGU between 5th of March 2020 - 15th of July 2020 (pandemic) and 5th of March 2019 - 15th of July 2019 (pre-pandemic). Read More

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December 2021

Hysteroscopic treatment of Cesarean Scar Pregnancy: A systematic review.

Eur J Obstet Gynecol Reprod Biol 2022 Mar 5;270:42-49. Epub 2022 Jan 5.

Endoscopic Surgery Unit, 1(st) Department of Obstetrics & Gynecology, "Alexandra" Hospital, National and Kapodistrian University of Athens, 80 Vasilissis Sofias Avenue, 11528 Athens, Greece.

More than 30 regimens, medical and surgical, have been described for the treatment of Cesarean Scar Pregnancies (CSPs). This study aims to collect and analyze data in the published literature regarding the hysteroscopic management of CSPs focusing on efficacy and complications. Using a protocol registered with Prospero (#CRD42021242314), the electronic databases PubMed/Medline, Scopus, Clinical-Trials. Read More

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Socioeconomic Analysis of the Surgical Management of Ectopic Pregnancies: An Analysis of the National Inpatient Sample.

J Minim Invasive Gynecol 2022 05 5;29(5):641-648. Epub 2022 Jan 5.

Surgery, Rutgers New Jersey Medical School (Dr. Merchant), Newark, New Jersey. Electronic address:

Study Objective: To identify racial and socioeconomic disparities in the surgical management of ectopic pregnancy.

Design: Retrospective study. The National Inpatient Sample was sampled from 2015 to 2017 for inpatient hospitalizations for ectopic pregnancy. Read More

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Multidose methotrexate treatment of cornual pregnancy after in vitro fertilization: Two case reports.

Case Rep Womens Health 2022 Jan 14;33:e00376. Epub 2021 Dec 14.

3 Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Background: An ectopic pregnancy, when the gestational sac is implanted outside of the uterine cavity, can be life-threatening. A cornual pregnancy is the most dangerous type of ectopic pregnancy since it can be misdiagnosed easily and has high mortality rate. It is diagnosed when the implantation site is at the junction between the fallopian tube and the uterus. Read More

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January 2022

Spontaneous angular dichorionic diamniotic twin pregnancy: a case report.

Fertil Steril 2022 01;117(1):155-159

Obstetrics and Gynecology, Hospital "S. Maria delle Croci," Ravenna, Italy.

Objective: To report a peculiar case of ultrasound diagnosis of spontaneous angular twin pregnancy. In literature, the terms "angular," "interstitial," and "cornual" pregnancies are often used inappropriately. Confusion in terminology may have contributed to difficulties in developing diagnostic ultrasound criteria to differentiate these ectopic pregnancies. Read More

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January 2022