Ectopic pregnancy treatment by laparoscopy, a short glimpse

Mettler, Liselotte; Sodhi, Bandana; Schollmeyer, Thoralf; Mangeshikar, PR

doi:10.1080/13645700600771942

Cited by 6 publications

(7 citation statements)

References 37 publications

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“…When these symptoms occur, primary treatment might be analgesics for pelvic pain, iron for anaemia, or even IVF for infertility. However, if this treatment is unsuccessful, surgery is always indicated [27–29]. …”

Section: Discussionmentioning

confidence: 99%

Complications of Uterine Fibroids and Their Management, Surgical Management of Fibroids, Laparoscopy and Hysteroscopy versus Hysterectomy, Haemorrhage, Adhesions, and Complications

Mettler¹,

Schollmeyer²,

Tinelli³

et al. 2012

Obstetrics and Gynecology International

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A critical analysis of the surgical treatment of fibroids compares all available techniques of myomectomy. Different statistical analyses reveal the advantages of the laparoscopic and hysteroscopic approach. Complications can arise from the location of the fibroids. They range from intermittent bleedings to continuous bleedings over several weeks, from single pain episodes to severe pain, from dysuria and constipation to chronic bladder and bowel spasms. Very seldom does peritonitis occur. Infertility may result from continuous metro and menorrhagia. The difficulty of the laparoscopic and hysteroscopic myomectomy lies in achieving satisfactory haemostasis using the appropriate sutures. The hysteroscopic myomectomy requires an operative hysteroscope and a well-experienced gynaecologic surgeon.

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Section: Discussionmentioning

confidence: 99%

Complications of Uterine Fibroids and Their Management, Surgical Management of Fibroids, Laparoscopy and Hysteroscopy versus Hysterectomy, Haemorrhage, Adhesions, and Complications

Mettler¹,

Schollmeyer²,

Tinelli³

et al. 2012

Obstetrics and Gynecology International

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“…In 1997, Navarra et al (6) first reported "one-wound" laparoscopic cholecystectomy. At present, single-port laparoscopic surgery has been applied in ovarian cystectomy (7), salpingectomy (8,9), appendectomy (10,11), nephrectomy (12,13), Meckel's diverticulum excision (14), right hemicolectomy (15). From November 2008, we have succeeded in 33 cases of transumbilical single port laparoscopic cholecystectomy with a simple technique, the effect is satisfactory.…”

Section: Resultsmentioning

confidence: 71%

Transumblical single port laparoscopic cholecystectomy with a simple technique: Initial experience of 33 cases

Feng

Yang

et al. 2010

Minimally Invasive Therapy & Allied Technologies

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Transumbilical single port laparoscopic cholecystectomy is a novel laparoscopic surgical technique for cholecystectomy utilizing only a transumbilical incision, which eliminates any visible abdominal scars and improves cosmesis. As the true single port laparoscopic technique, we presented an easy and feasible method for transumbilical laparoscopic cholecystectomy. A total of 33 patients were presented for transumbilical single port laparoscopic cholecystectomy. A 1.5 cm incision was made at the umbilicus. We used one sterile glove and designed a simple method for this procedure. All the operations were completed successfully. The operative time of the first case was 189 min, the average time of the following two cases was 90 min, and the mean of the latest ten cases was 50 min. Operative blood loss was <30 ml for all patients. No drainage tube was placed and no postoperative complications such as bleeding or biliary leakage occurred after three to six months of follow-up. All the patients were discharged 24h after the operation. There were no visible scars on the abdominal wall at the second weekend. Transumbilical single port laparoscopic cholecystectomy by our designed methods was technically simple, feasible and safe. Furthermore, development of newer instruments, accumulation of experience and enhancement of operative technique may facilitate this new operative approach.

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“…Ectopic pregnancy refers to pregnancies which occur out of uterus cavity and 98% of cases occur in the fallopian tube while another 2% occur in uncommon places such as the ovary, abdomen, caesarean scar and other [ 1 ]. The prevalence of ectopic pregnancies has increased from 0.5% in the last four decades to 2% in recent decades [ 1 – 3 ]. The rRupture of ectopic pregnancies leads to a high rate of mortality in mothers [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of treatment of previous cesarean scar pregnancy with methotrexate: a systematic review and meta-analysis

Salari

Kazeminia

Shohaimi

et al. 2020

Reprod Biol Endocrinol

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Background Previous caesarean scar pregnancy is one type of ectopic pregnancy in myometrium and fibrous tissue of previous caesarean scar. One of the therapeutic methods of this type of ectopic pregnancy is treatment with methotrexate. Given various findings on the treatment of caesarean scar pregnancy with methotrexate and lack of global report in this regard, we aimed to achieve a global report on the treatment of CSP with methotrexate through related literature review and analysis of the results of the studies, to enable more precise planning to reduce complications of CSP. Method This review study extracted information through searching national and international databases of SID،, Embase, ScienceDirect, ، Scopus, ، PubMed, Web of Science (ISI) between 2003 and January 2020. To perform the meta-analysis, random-effects model and heterogeneity of the studies with I2 index were investigated. Data were sanalysed using Comprehensive Meta-Analysis version 2. Results In total, 26 articles with a sample size of 600 individuals were enrolled in the meta-analysis. According to the results of the study, the mean level of β-hCG was 28,744.98 ± 4425.1 mIU/ml before the intervention and was 23,836.78 ± 4533.1 mIU/ml after the intervention. The mean intraoperative blood loss (ml) was 4.8 ± 3.76 ml, mean hospital stay (days) was 11.7 ± 1.2 days, mean time for serum-hCG normalization (days) was 41.6 ± 3.2 days, success was 90.7% (95% CI: 86.7–93.5%), and complication was 9% (95% CI: 6.3–12.8%). Conclusion The results of the current study show methotrexate significantly reduces β-hCG levels and can be effective in treating caesarean scar pregnancy and its complications.

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Ectopic pregnancy treatment by laparoscopy, a short glimpse

Cited by 6 publications

References 37 publications

Complications of Uterine Fibroids and Their Management, Surgical Management of Fibroids, Laparoscopy and Hysteroscopy versus Hysterectomy, Haemorrhage, Adhesions, and Complications

Complications of Uterine Fibroids and Their Management, Surgical Management of Fibroids, Laparoscopy and Hysteroscopy versus Hysterectomy, Haemorrhage, Adhesions, and Complications

Transumblical single port laparoscopic cholecystectomy with a simple technique: Initial experience of 33 cases

Evaluation of treatment of previous cesarean scar pregnancy with methotrexate: a systematic review and meta-analysis

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