New simple endoscopic operations for interstitial pregnancies.

摘要: Abstract Objectives: Our aim was to report a new approach of endoscopic management (endoloop and encircling suture methods) for interstitial or cornual pregnancy determine the safety effectiveness these procedures their effects on subsequent pregnancies. Study Design: This is an uncontrolled retrospective review 24 patients treated pregnancies through operations with 14 72 months follow-up at large urban medical center. Blood loss, operation time, changes serum human chorionic gonadotropin levels, resumption menstruation, after were analyzed. Results: Among pregnancies, 3 had ruptured time 21 not ruptured. Treatment consisted either vasopressin electric cauterization method, endoloop before evacuation conceptus method. The blood loss (mean ± SD) unruptured cases 133 134 mL 51.6 7.6 minutes in group (n = 3), 32 22 28.5 6.4 15), 40 17 35.0 5.0 3). In 1100 854 82.5 minutes. Any operative methods resulted rapid decline levels within 1 week exception case, which method used; this patient needed additional treatment methotrexate. Seventeen desired future, 15 eventually became pregnant. One ended ectopic opposite side 6 pregnancy. Three spontaneous abortion, 11 delivered by elective cesarean section term labor started. Operative records 8 our institution showed little no adhesions defect area previous operation. Conclusion: are simple, safe, effective, nearly bloodless. There uterine ruptures management. (Am J Obstet Gynecol 2000;182:114-21.)