Usha Verma1, Nima Goharkhay. 1. Department of Obstetrics and Gynecology, Miller School of Medicine, University of Miami, Miami, Florida 33101, USA. uverma@med.miami.edu
Abstract
OBJECTIVE: To evaluate the safety and efficacy of a minimally invasive approach in the management of cervical ectopic pregnancies. DESIGN: Retrospective case series. SETTING: University tertiary care hospital. PATIENT(S): Twenty-four women diagnosed with cervical ectopic pregnancy managed conservatively. INTERVENTION(S): Systemic methotrexate alone or combined with ultrasound-guided fetal intracardiac injection of potassium chloride. MAIN OUTCOME MEASURE(S): Reduction in hysterectomy rate, incidence of serious complications, and necessity for further intervention. RESULT(S): Conservative management of cervical ectopic pregnancy was successful in preventing the need for hysterectomy in all patients in our study. In two patients with a heterotopic gestation the intrauterine pregnancy could successfully be salvaged. Four patients experienced morbidity that required additional interventions. CONCLUSION(S): Most cervical ectopic pregnancies can be safely managed in a minimally invasive manner.
OBJECTIVE: To evaluate the safety and efficacy of a minimally invasive approach in the management of cervical ectopic pregnancies. DESIGN: Retrospective case series. SETTING: University tertiary care hospital. PATIENT(S): Twenty-four women diagnosed with cervical ectopic pregnancy managed conservatively. INTERVENTION(S): Systemic methotrexate alone or combined with ultrasound-guided fetal intracardiac injection of potassium chloride. MAIN OUTCOME MEASURE(S): Reduction in hysterectomy rate, incidence of serious complications, and necessity for further intervention. RESULT(S): Conservative management of cervical ectopic pregnancy was successful in preventing the need for hysterectomy in all patients in our study. In two patients with a heterotopic gestation the intrauterine pregnancy could successfully be salvaged. Four patients experienced morbidity that required additional interventions. CONCLUSION(S): Most cervical ectopic pregnancies can be safely managed in a minimally invasive manner.
Authors: Tomislav Hafner; Ivana Erceg Ivkosic; Alan Serman; Renato Bauman; Boris Ujevic; Sanja Vujisic; Daria Hafner; Berivoj Miskovic Journal: J Med Case Rep Date: 2010-07-16