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Revista Mexicana de Cirugía Endoscópica

ISSN 1665-2576 (Print)
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2001, Number 3

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Rev Mex Cir Endoscop 2001; 2 (3)

Endoscopic ablation of unruptured ectopic pregnancy

Carlos Nava Pineda, Arturo Espinosa Muñoz, Jorge Jiménez Luna, Lorenzo R Ugalde Rodríguez, Juan García Márquez
Full text How to cite this article

Language: Spanish
References: 10
Page: 147-149
PDF size: 52.94 Kb.


Key words:

Gynecol laparoscopy surgery, pregnancy non broken ectopic.

ABSTRACT

We present the result and three year old experience in the treatment endoscopic of the pregnancy non broken ectopic. One hundred and twenty four cases age average 25 years. 50% with antecedents of pelvic inflammatory illness, 45% with previous surgery, 5% with previous abortions and application of intrauterine device. The most frequent localization was ampular in 60%. The diagnostic it was clinical and ultrasonographic, 15% presented gonadotrophin positive corionic. All the cases were confirmed endoscopic. Hemoglobin average was of 9 g. And subjected to endoscopic with hemodynamic stability. The treatment was made under the following norms: Aspiration of the cavity, farmacological hemostasis (desmopresin), electrocauteric use, staples and knots glidings extracorpory. Section of the salpinge and ablation of the piece, laundry, aspiration and drainage. Conclusions: The ablation endoscopic allows the morbility, mortality, and the conversion they are negative. It allows a quick recovery and the use of blood or derived they are unnecessary, allowing the hospital expediture in 24 h.


REFERENCES

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  2. Nezhat C, Siegler A. Management of the ectopic pregnancy. Operative Gynecologic Laparoscopy. 2° ed. 2000.

  3. Goldner TE, Lawson HW, Xiaz, Atrash HK. Surveillance for ectopic pregnancy. United States 1970-1989. MNWR 1993; 42: 73.

  4. Marchbanks PA, Annegers JF, Coulan CB et al. Risk factors for ectopic pregnancy: A population based study. JAMA 1988; 259: 1823.

  5. Dart RG, Kaplan B, Varaklisk. Predictive value of history and physical examination in patients with suspected ectopic pregnancy. Ann Emerg Med 1999; 33: 283.

  6. Kadar N, De Vore G, Romero R. Discriminatory HCG Zone: Its use in the sonographic evaluation for ectopic pregnancy. Obstet Gynecol 1981; 58: 156.

  7. Soriano D, Yefet Y, Oelsner G et al. Operative laparoscopy for management of ectopic pregnancy in patients with hypovolemic shock. J Am Assoc Gynecol Laparosc 1997; 4: 363.

  8. Nezhat C, Nezhat F. Conservative management of ectopic gestation (letter to the editor). Fertil Steril 1990; 53: 382.

  9. Nezhat C, Metzger MD, Nezhat F et al. Adhesion reformation after reproductive surgery by video laseroscopy. Fertil Steril 1990; 53: 1908.

  10. Nezhat F, Winer W, Nezhat C. Salpingectomy via laparoscopy: A new surgical approach. J Laparoendosc Surg 1991; 1: 91.




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Rev Mex Cir Endoscop. 2001;2