A cohort study to evaluate the effectiveness of laparoscopic-guided local injection of etoposide in the management of women with unruptured tubal pregnancy

Chen, Ching Hui; Lee, Wen Ling; Chiu, Li Hsuan; Sun, Hsin‐Yun; Liu, Weimin; Wang, Peng Hui

doi:10.1016/j.fertnstert.2011.06.033

Cited by 15 publications

(3 citation statements)

References 14 publications

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“…In addition, the feasibility of the operation again and the best time also need to be studied. Chen et al [18] shows that the effect of injecting etoposide is better than that of MTX under the guidance of the peritoneoscope, which widen our thread when we select injecting drug.…”

Section: Discussionmentioning

confidence: 95%

Treatment of tubal pregnancy using comprehensive interventional methods

Tan¹,

Zhang²,

Liu³

et al. 2014

Clin. Exp. Obstet. Gynecol.

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Objective: To investigate the efficacy of combined interventional methods in treatment of tubal pregnancy. Materials and Methods: One hundred sixty-two patients with tubal pregnancy were enrolled in this study. In all patients, the feeding uterine artery at affected side was perfused with methotrexate (MTX), followed by occlusion using gelatin sponge. Nineteen patients were also treated by perfusion of MTX in ovarian artery at affected side which partially participated in blood supply. Seven patients received direct puncture perfusion of MTX under B ultrasound guidance. Four cases received perfusion of MTX through fallopian tube. After surgery, the serum beta-human chorionic gonadotropin (β-HCG) level was regularly detected, and B ultrasound was used to monitor the pelvic mass change. For 33 patients with fertility requirement, hysterosalpingography (HSG) was conducted after menstruation restoration. Results: Tubal pregnancy was terminated in 160 patients (98.76%), with inefficacy in two patients (1.23%) who were treated by surgery. HSG showed tubal patency in 27 patients. Tubal obstruction was found in the other six patients. After recanalization, three cases were unobstructed, with obstruction in other three cases. Fifteen patients achieved intrauterine pregnancy after six to 17 months from surgery. Conclusions: Comprehensive interventional treatment can prevent internal bleeding caused by failure of many conservative treatments, improve the indication and success rate of treatment, and preserve the complete fallopian tube.

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Section: Discussionmentioning

confidence: 95%

Treatment of tubal pregnancy using comprehensive interventional methods

Tan¹,

Zhang²,

Liu³

et al. 2014

Clin. Exp. Obstet. Gynecol.

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“…Ectopic pregnancy is a gynecological emergency and a serious complication of early pregnancy because of the association with maternal morbidity and mortality in the first trimester. 5 Septic arthritis is an orthopedic emergency and a serious complication because of cartilage tissue damage. Factors predisposing to septic arthritis pertinent to the gravida include diabetes, rheumatoid arthritis, intravenous drug abuse, a prior intra-articular steroid injection, or trauma.…”

Section: Discussionmentioning

confidence: 99%

Bilateral septic knee arthritis after treatment of an ectopic pregnancy with methotrexate

Karaaslan¹,

Mermerkaya²,

Yurdakul³

et al. 2015

IMCRJ

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“…Some abdominal emergencies can mimic acute gastroenteritis, but the prevalence of gastrointestinal symptoms in acute gynecological emergencies is uncertain [2] . In a gynecological setting, hemoperitoneum is usually a result of an ectopic pregnancy, a ruptured corpus luteum, or adnexal torsion [3] , [4] , [5] . As a cause of hemoperitoneum, spontaneous rupture of a vein or an artery overlying a myoma has been documented in English literature on the subject, although it is extremely rare [6] , [7] , [8] , [9] , [10] , [11] , 12] , [13] , [14] , [15] , [16] .…”

Section: Introductionmentioning

confidence: 99%